The University of Houston College of Pharmacy
Doctor of Pharmacy
Ambulatory Care Advanced Pharmacy Practices Experiences
Manual and Syllabi
Office of Experiential Programs
The University of Houston
College of Pharmacy
4849 Calhoun Road, Room 3044
Houston, Texas 77030
(832) 842‐8337
(832) 842‐8330 Fax
Summer 2019 – Spring 2020
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Table of Contents
Office of Experiential Programs Contact Information ............................................................................................................ 3
PHAR 5644 Medication Therapy Management ...................................................................................................................... 4
PHAR 5658 Association Management .................................................................................................................................... 7
PHAR 5659 Specialized/Unique Pharmacy Practice .............................................................................................................. 10
PHAR 5660 Pharmaceutical Industry .................................................................................................................................... 13
PHAR 5662 Academic Scholarship ........................................................................................................................................ 16
PHAR 5663 Pharmacy Management ‐ Outpatient ................................................................................................................ 19
PHAR 5664 Legal and Regulatory .......................................................................................................................................... 22
PHAR 5668 Managed Care .................................................................................................................................................... 25
PHAR 5670 Community Pharmaceutical Care ...................................................................................................................... 28
PHAR 5672 Clinical Pharmaceutical Research ...................................................................................................................... 31
PHAR 5673 Veterinary Pharmaceutical Care ........................................................................................................................ 34
PHAR 5675 and PHAR 5696 Ambulatory Care Disease State Management and Primary Care ............................................ 37
PHAR 5686 Psychiatry ‐ Outpatient ...................................................................................................................................... 41
PHAR 5691 Drug Information – Outpatient .......................................................................................................................... 44
PHAR 5693 Advanced Community Pharmacy ....................................................................................................................... 47
APPENDIX .......................................................................................................................................................................... 51
The QuEST/SCHOLAR‐MAC process – OTC Counseling ................................................................................................. 51
Documentation of OTC Consults Form: ........................................................................................................................ 52
DEA 222 Forms ............................................................................................................................................................. 53
Major Interaction Form ................................................................................................................................................. 55
Exam Topics ....................................................................................................................................................................... 56
Advanced Community Pharmacy Study Guide ............................................................................................................. 56
PHAR 5695 Geriatrics – Outpatient ...................................................................................................................................... 71
Drug Information Response Form ......................................................................................................................................... 74
Evaluation Forms for Ambulatory Care APPEs ...................................................................................................................... 75
Journal Club Evaluation Form ........................................................................................................................................... 75
Presentation Evaluation Form .......................................................................................................................................... 77
Drug Information Inquiry Evaluation Form ....................................................................................................................... 78
SOAP Note Evaluation Form ............................................................................................................................................. 80
Advanced Community Assignments Rubric ...................................................................................................................... 83
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Office of Experiential Programs Contact Information
Please feel free to contact anyone listed below with questions or concerns. If there are any issues regarding a rotation,
site, or preceptor, please contact Dr. Tolleson, as soon as possible, for assistance.
Shane Tolleson, PharmD Director, Ambulatory‐Based Advanced Pharmacy Practice Experiences
(832) 842‐8369 (office)
E‐mail: [email protected]
Nancy Ordonez, PharmD Assistant Dean for Experiential Programs
(832) 842‐8337 (office)
E‐mail: [email protected]
Dmitry Vishnevetsky Program Manager
(713) 743‐6229 (office)
Email: [email protected]
Lupita Curiel Program Coordinator II
(832) 842‐8337 (office)
Email: [email protected]
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PHAR 5644 Medication Therapy Management HOURS CREDIT: 6
COURSE PURPOSE:
The goal of the Ambulatory Care Medication Therapy Management Advanced Pharmacy Practice Experience is to
provide opportunities for students to build upon knowledge and skills acquired through didactic education and
Introductory Pharmacy Practice Experiences and apply them in direct patient care activities in the ambulatory care
setting. Students will actively participate in direct patient care using the elements of JCPP Pharmacist Care process which
includes obtaining patient medical and medication histories, providing drug regimen reviews, interviewing patients,
evaluating therapy adherence, developing medication management plans, monitoring patients' therapeutic outcomes,
consulting with physicians and non‐physician providers, and providing education to patients and health care
professionals. This course takes place in a community pharmacy or community pharmacy management office setting.
Team members may include pharmacists, physicians, physician assistants, nurse practitioners, nurses, and other
healthcare providers. This experience will be directed and evaluated by one or more preceptors.
Interprofessional Experience: The pharmacist is a member of an interdisciplinary team that serves the patient’s interest
above all other concerns. Team members may include pharmacists, physicians, physician assistants, nurse practitioners,
nurses, and other healthcare providers. This experience may be directed and evaluated by one or more preceptors.
PROFICIENCIES:
1. Apply pharmacotherapy principles and foundational knowledge to deliver patient‐centered care
2. In collaboration with the health care team, provide safe and effective patient care to a diverse patient
population following a consistent JCPP pharmacist patient care process
3. Administer medications to a diverse patient population
4. Ensure continuity of care during patient transitions between care settings
5. Apply pharmacy practice management skills related to human resources and informatics
6. Provide education to patients, caregivers, health care professionals, students, and the public (individuals and
groups) on prescription medications, self‐care products which may include alternative therapies, devices,
dietary supplement, and complementary medications using culturally competent methods
7. Communicate with health professionals effectively in oral and written format using appropriate
documentation methods and systems
8. Display professional behavior, self‐awareness, advocacy, and commitment to the profession
ASSESSMENTS:
1. Preceptor evaluations of student
a. Mid rotation
b. End of rotation
2. Intern self‐evaluations
5
a. Start of rotation – due by day 1 of rotation
b. Mid rotation – due before Monday of week 4 of rotation
c. End of rotation – due by Thursday of week 6 of rotation
3. Case Logs – due by Tuesday of week 6 of rotation:
a. To be graded by APPE Director
b. Interventions will be graded on quality and completeness. E‐value Case Logs will be utilized for
interventions.
c. You are encouraged to document all interventions at your site, not just the minimum that is required.
d. Minimum total requirement: 10
i. Submit a variety of drug related problems (DRPs) and interventions reflective of the learning
experience
ii. Recommended intervention types: Chronic Medication Adjustment, Complete Medication
Review (CMR) interventions
iii. Recommended DRP types: Drug‐Drug Interaction
e. For instructions on submitting a comprehensive case log, see video regarding Case Logs or Case Logs
slides in Blackboard
4. Assignments
a. 2 SOAP Notes
i. 1 SOAP note from before midpoint
ii. 1 SOAP note from after midpoint
iii. To be graded by preceptor using the standard rubric
iv. May be in format other than SOAP that is utilized by site
v. Must complete first note before next one is completed
vi. Student to upload completed evaluation form and HIPAA compliant/deidentified notes (if
permitted by site) via Evalue Portfolio – Non‐Reflective Folder – Written Assignment link by the
last onsite day of Week 6.
vii. Save file for upload as “SOAP‐APPE#PHAR56XXLastNameFirstName”; # = Rotation block; XX ‐
Course number
b. 1 Drug Information Request
i. Use standard Drug Information Response form
ii. To be graded by preceptor using the standard rubric
iii. Student to upload completed evaluation form and completed Drug Information Response form
via Evalue Portfolio – Non‐Reflective Folder – Written Assignment link by the last onsite day of
Week 6.
iv. Save file for upload as “DIQ‐APPE#PHAR56XXLastNameFirstName”; # = Rotation block; XX ‐
Course number
c. 1 Presentation
i. Examples of presentation include, but not limited to: patient case presentation, disease state
presentation, journal article evaluation, or other formal presentation as approved by preceptor.
ii. To be graded by preceptor using the appropriate rubric for presentation type
iii. Student is to upload completed evaluation form and handout/presentation slides to Evalue
Portfolio as directed on the evaluation form by the last onsite day of Week 6.
d. Others assignments or projects as deemed appropriate by preceptor for APPE
OTHER REQUIRED DOCUMENTS:
1. Hours logged properly in eValue
a. Minimum 240 hours
6
b. All verified by preceptor(s)
2. Student of Site Evaluation
3. Student of Preceptor Evaluation
GRADING PROCEDURES:
Grading will occur via electronic APPE evaluations on E‐Value. Students will receive a grade at midpoint that does not
count towards the final grade on a transcript. The grade received at midpoint evaluation will be utilized for student self‐
reflection and to set goals for the second remaining half of the rotation. Students will receive a final grade on the last
day of the APPE that will be transferred to the student’s transcript. Grading occurs via an automatic calculation present
in electronic evaluations in E‐Value.
Grading Criteria
The grading criteria is competency based. Minimal passing performance is 70%. A total of 500 points may be achieved
upon completion of the assigned APPE. These points are composed of scores as delineated below. The following
maximum point values may be achieved in each of the areas:
Final Evaluation from preceptor (rubric) 300 Points
Assignments 100 Points
Projects, assignments, interventions, evaluations Pass/Fail
Practice Experiential Director Grade* 100 Points
TOTAL 500 Points
*Practice Experiential Director Grade – Accountability points described in P&P manual
In order to receive a passing grade for the rotation the intern:
1. Must NOT receive three (3) or more Needs Improvement (NI) ratings on the end of rotation evaluation
2. Must NOT receive one Significant Deficits Exists (“SD”) rating on the end of rotation evaluation
3. Must earn points for a passing grade of “C” or above
Grading Scale:
A letter grade is assigned based on the total points earned.
Letter Grade Total APPE Rotation Points Percentage A 450 – 500 points 90 – 100% B 400 – 449 points 80 – 89% C 350 – 399 points 70 – 79% D 325 – 349 points 65 – 69% repeat APPE F Less than 325 points Below 65% repeat APPE
ADDITIONAL RESOURCES: Refer to Ambulatory Care APPEs Blackboard course
7
PHAR 5658 Association Management HOURS CREDIT: 6
COURSE PURPOSE:
The goal of the Association Management Advanced Pharmacy Practice Experience is to provide opportunities for
students to build upon knowledge and skills acquired through didactic education and Introductory Pharmacy Practice
Experiences and apply them in pharmacy association management. Students will actively participate in daily association
management practices, contributing to the various programs, products and services offered to pharmacy association
members. Practice sites may include NACDS, APhA or NCPA.
Interprofessional Experience: The pharmacist is a member of an interdisciplinary team that serves the patient’s interest
above all other concerns. Team members may include pharmacists, physicians, physician assistants, nurse practitioners,
nurses, and other healthcare providers. This experience may be directed and evaluated by one or more preceptors.
PROFICIENCIES:
1. Demonstrate proficiency in foundational sciences related to health care and pharmacotherapy
2. Review and revise coursework including lectures, skills labs, or other labs using a variety of instructional
strategies
3. Develop assessment for the measurement of student mastery of material presented
4. Communicates verbally and nonverbally with students, faculty, healthcare team and/or organization
5. Display professional behavior, self‐awareness, advocacy, and commitment to the profession
ASSESSMENTS:
1. Preceptor evaluations of student
a. Mid rotation
b. End of rotation
2. Intern self‐evaluations
a. Start of rotation – due by day 1 of rotation
b. Mid rotation – due before Monday of week 4 of rotation
c. End of rotation – due by Thursday of week 6 of rotation
3. Assignments
a. 1 Presentation
i. Examples of presentation include, but not limited to: patient case presentation, disease state
presentation, journal article evaluation, or other formal presentation as approved by preceptor.
ii. To be graded by preceptor using the appropriate rubric for presentation type
8
iii. Student is to upload completed evaluation form and handout/presentation slides to Evalue
Portfolio as directed on the evaluation form by the last onsite day of Week 6.
b. Other assignments or projects as deemed appropriate by preceptor for APPE
OTHER REQUIRED DOCUMENTS:
1. Hours logged properly in eValue
a. Minimum 240 hours
b. All verified by preceptor(s)
2. Student of Site Evaluation
3. Student of Preceptor Evaluation
GRADING PROCEDURES:
Grading will occur via electronic APPE evaluations on E‐Value. Students will receive a grade at midpoint that does not
count towards the final grade on a transcript. The grade received at midpoint evaluation will be utilized for student self‐
reflection and to set goals for the second remaining half of the rotation. Students will receive a final grade on the last
day of the APPE that will be transferred to the student’s transcript. Grading occurs via an automatic calculation present
in electronic evaluations in E‐Value.
Grading Criteria
The grading criteria is competency based. Minimal passing performance is 70%. A total of 500 points may be achieved
upon completion of the assigned APPE. These points are composed of scores as delineated below. The following
maximum point values may be achieved in each of the areas:
Final Evaluation from preceptor (rubric) 300 Points
Assignments 100 Points
Projects, assignments, interventions, evaluations Pass/Fail
Practice Experiential Director Grade* 100 Points
TOTAL 500 Points
*Practice Experiential Director Grade – Accountability points described in P&P manual
In order to receive a passing grade for the rotation the intern:
1. Must NOT receive three (3) or more Needs Improvement (NI) ratings on the end of rotation evaluation
2. Must NOT receive one Significant Deficits Exists (“SD”) rating on the end of rotation evaluation
3. Must earn points for a passing grade of “C” or above
Grading Scale:
A letter grade is assigned based on the total points earned.
9
Letter Grade Total APPE Rotation Points Percentage A 450 – 500 points 90 – 100% B 400 – 449 points 80 – 89% C 350 – 399 points 70 – 79% D 325 – 349 points 65 – 69% repeat APPE F Less than 325 points Below 65% repeat APPE
ADDITIONAL RESOURCES: Refer to Ambulatory Care APPEs Blackboard course
10
PHAR 5659 Specialized/Unique Pharmacy Practice HOURS CREDIT: 6
COURSE PURPOSE:
The goal of the Specialized/Unique Pharmacy Practice Experience is to provide opportunities for students to build upon
knowledge and skills acquired through didactic education and Introductory Pharmacy Practice Experiences and apply
them in a specialized or unique pharmacy practice environment. Students will actively participate in unique pharmacy
practices, contributing to the various programs, products and services offered to pharmacy association members.
Practice sites may include mail order pharmacies, specialty pharmacies or independent pharmacies.
PROFICIENCIES:
1. Apply foundational knowledge to manage safe and effective patient‐centered care
2. Apply principles of pharmacy practice management to pharmacy operations
3. Apply the systems approach to medication safety activities to identify and report medication errors
4. Apply pharmacy practice management skills related to human resources, medication resources, informatics,
pharmacy workload and financial performance
5. Communicate with healthcare personnel in a face to face, written or electronic media to reach optimal
outcomes
6. Display professional behavior, self‐awareness, advocacy, and commitment to the profession
ASSESSMENTS:
1. Preceptor evaluations of student
a. Mid rotation
b. End of rotation
2. Intern self‐evaluations
a. Start of rotation – due by day 1 of rotation
b. Mid rotation – due before Monday of week 4 of rotation
c. End of rotation – due by Thursday of week 6 of rotation
3. Assignments
a. 1 Presentation
i. Examples of presentation include, but not limited to: patient case presentation, disease state
presentation, journal article evaluation, or other formal presentation as approved by preceptor.
ii. To be graded by preceptor using the appropriate rubric for presentation type
iii. Student is to upload completed evaluation form and handout/presentation slides to Evalue
Portfolio as directed on the evaluation form by the last onsite day of Week 6.
b. Other assignments or projects as deemed appropriate by preceptor for APPE
11
OTHER REQUIRED DOCUMENTS:
1. Hours logged properly in eValue
a. Minimum 240 hours
b. All verified by preceptor(s)
2. Student of Site Evaluation
3. Student of Preceptor Evaluation
GRADING PROCEDURES:
Grading will occur via electronic APPE evaluations on E‐Value. Students will receive a grade at midpoint that does not
count towards the final grade on a transcript. The grade received at midpoint evaluation will be utilized for student self‐
reflection and to set goals for the second remaining half of the rotation. Students will receive a final grade on the last
day of the APPE that will be transferred to the student’s transcript. Grading occurs via an automatic calculation present
in electronic evaluations in E‐Value.
Grading Criteria
The grading criteria is competency based. Minimal passing performance is 70%. A total of 500 points may be achieved
upon completion of the assigned APPE. These points are composed of scores as delineated below. The following
maximum point values may be achieved in each of the areas:
Final Evaluation from preceptor (rubric) 300 Points
Assignments 100 Points
Projects, assignments, interventions, evaluations Pass/Fail
Practice Experiential Director Grade* 100 Points
TOTAL 500 Points
*Practice Experiential Director Grade – Accountability points described in P&P manual
In order to receive a passing grade for the rotation the intern:
1. Must NOT receive three (3) or more Needs Improvement (NI) ratings on the end of rotation evaluation
2. Must NOT receive one Significant Deficits Exists (“SD”) rating on the end of rotation evaluation
3. Must earn points for a passing grade of “C” or above
Grading Scale:
A letter grade is assigned based on the total points earned.
Letter Grade Total APPE Rotation Points Percentage A 450 – 500 points 90 – 100%
12
B 400 – 449 points 80 – 89% C 350 – 399 points 70 – 79% D 325 – 349 points 65 – 69% repeat APPE F Less than 325 points Below 65% repeat APPE
ADDITIONAL RESOURCES: Refer to Ambulatory Care APPEs Blackboard course
13
PHAR 5660 Pharmaceutical Industry HOURS CREDIT: 6
COURSE PURPOSE:
The goal of the Pharmaceutical Industry Advanced Pharmacy Practice Experience is to provide opportunities for students
to build upon knowledge and skills acquired through didactic education and apply them in the pharmaceutical industry
setting. Students will actively participate in providing a medical information service while demonstrating knowledge
drug information systems, application of the primary drug literature in responding to drug information requests, and
effective oral and written communication skills. Team members may include pharmacists and physicians. This rotation
experience will be directed and evaluated by one or more preceptors.
Inter‐professional Experience: The pharmacist is a member of an interdisciplinary team that serves the patient’s interest
above all other concerns. Team members may include pharmacists, physicians, physician assistants, nurse practitioners,
nurses, and other healthcare providers. This experience may be directed and evaluated by one or more preceptors.
PROFICIENCIES:
1. Apply pharmacotherapy principles and foundational knowledge to deliver patient‐centered care
2. Apply knowledge of the structural and functional dimensions of communicating medical information to health
care providers
3. Apply pharmacy practice management skills related to human resources, medication resources, informatics, and
customer relations
4. Communicate with health professionals effectively in oral and written format using appropriate documentation
methods and systems
5. Display professional behavior, self‐awareness, advocacy, and commitment to the profession
ASSESSMENTS
1. Preceptor evaluations of student
a. Mid rotation
b. End of rotation
2. Intern self‐evaluations
a. Start of rotation – due by day 1 of rotation
b. Mid rotation – due before Monday of week 4 of rotation
c. End of rotation – due by Thursday of week 6 of rotation
3. Assignments
a. 6 Drug Information Request
i. 1 request per week
ii. Use standard Drug Information Response form
14
iii. To be graded by preceptor using the standard rubric
iv. Student to upload completed evaluation form and completed Drug Information Response form
via Evalue Portfolio – Non‐Reflective Folder – Written Assignment link by the last onsite day of
Week 6.
v. Save file for upload as “DIQ‐APPE#PHAR56XXLastNameFirstName”; # = Rotation block; XX ‐
Course number
b. 1 Presentation
i. Examples of presentation include, but not limited to: patient case presentation, disease state
presentation, journal article evaluation, or other formal presentation as approved by preceptor.
ii. To be graded by preceptor using the appropriate rubric for presentation type
iii. Student is to upload completed evaluation form and handout/presentation slides to Evalue
Portfolio as directed on the evaluation form by the last onsite day of Week 6.
c. Other assignments or projects as deemed appropriate by preceptor for APPE
GRADING PROCEDURES
Grading will occur via electronic APPE evaluations on E‐Value. Students will receive a grade at midpoint that does not
count towards the final grade on a transcript. The grade received at midpoint evaluation will be utilized for student self‐
reflection and to set goals for the second remaining half of the rotation. Students will receive a final grade on the last
day of the APPE that will be transferred to the student’s transcript. Grading occurs via an automatic calculation present
in electronic evaluations in E‐Value.
Grading Criteria
The grading criteria is competency based. Minimal passing performance is 70%. A total of 500 points may be achieved
upon completion of the assigned APPE. These points are composed of scores as delineated below. The following
maximum point values may be achieved in each of the areas:
Final Evaluation from preceptor (rubric) 300 Points
Assignments 100 Points
Projects, assignments, interventions, evaluations Pass/Fail
Practice Experiential Director Grade* 100 Points
TOTAL 500 Points
*Practice Experiential Director Grade – Accountability points described in P&P manual
In order to receive a passing grade for the rotation the intern:
1. Must NOT receive three (3) or more Needs Improvement (NI) ratings on the end of rotation evaluation
2. Must NOT receive one Significant Deficits Exists (“SD”) rating on the end of rotation evaluation
3. Must earn points for a passing grade of “C” or above
15
Grading Scale:
A letter grade is assigned based on the total points earned.
Letter Grade Total APPE Rotation Points Percentage A 450 – 500 points 90 – 100% B 400 – 449 points 80 – 89% C 350 – 399 points 70 – 79% D 325 – 349 points 65 – 69% repeat APPE F Less than 325 points Below 65% repeat APPE
ADDITIONAL RESOURCES: Refer to Ambulatory Care APPEs Blackboard course
16
PHAR 5662 Academic Scholarship HOURS CREDIT: 6
COURSE PURPOSE:
The goal of the Academic Scholarship Experience is to provide opportunities for students to build upon knowledge and
skills acquired through didactic education in the academic setting. Students will actively participate in the daily details
of preparing for education of students in the PharmD program.
PROFICIENCIES:
1. Demonstrate proficiency in foundational sciences related to health care and pharmacotherapy
2. Review and revise coursework including lectures, skills labs, or other labs using a variety of instructional
strategies
3. Develop assessment for the measurement of student mastery of material presented
4. Communicates verbally and nonverbally with students, faculty, healthcare team and/or organization
5. Display professional behavior, self‐awareness, advocacy, and commitment to the profession
ASSESSMENTS:
1. Preceptor evaluations of student
a. Mid rotation
b. End of rotation
2. Intern self‐evaluations
a. Start of rotation – due by day 1 of rotation
b. Mid rotation – due before Monday of week 4 of rotation
c. End of rotation – due by Thursday of week 6 of rotation
3. Assignments
a. 1 Large Group Educational Delivery
i. Deliver educational content on an assigned topic to a group of students or other suitable
audience of greater than 60 individuals for at least estimated 45 minute time block
ii. To be graded by preceptor using the standard presentation rubric
iii. Student is to upload completed evaluation form and handout/presentation slides to Evalue
Portfolio as directed on the evaluation form by the last onsite day of Week 6.
b. 1 Small Group Educational Delivery
i. Deliver educational content on an assigned topic to a group of students or other suitable
audience of no greater than 35 for at least estimated 30 minute time block
ii. To be graded by preceptor using the standard presentation rubric
iii. Student is to upload completed evaluation form and handout/presentation slides to Evalue
Portfolio as directed on the evaluation form by the last onsite day of Week 6.
c. Assessment Questions
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i. Develop and review questions for examination or other assessment for assigned topic
d. 1 Journal Club
i. Article discussed must be over healthcare profession education topic
ii. To be graded by preceptor using the Journal Club grading rubric
iii. Student is to upload completed evaluation form and handout/presentation slides to Evalue
Portfolio as directed on the evaluation form by the last onsite day of Week 6.
e. Other assignments or projects as deemed appropriate by preceptor for APPE
OTHER REQUIRED DOCUMENTS:
1. Hours logged properly in eValue
a. Minimum 240 hours
b. All verified by preceptor(s)
2. Student of Site Evaluation
3. Student of Preceptor Evaluation
GRADING PROCEDURES:
Grading will occur via electronic APPE evaluations on E‐Value. Students will receive a grade at midpoint that does not
count towards the final grade on a transcript. The grade received at midpoint evaluation will be utilized for student self‐
reflection and to set goals for the second remaining half of the rotation. Students will receive a final grade on the last
day of the APPE that will be transferred to the student’s transcript. Grading occurs via an automatic calculation present
in electronic evaluations in E‐Value.
Grading Criteria
The grading criteria is competency based. Minimal passing performance is 70%. A total of 500 points may be achieved
upon completion of the assigned APPE. These points are composed of scores as delineated below. The following
maximum point values may be achieved in each of the areas:
Final Evaluation from preceptor (rubric) 300 Points
Assignments 100 Points
Projects, assignments, interventions, evaluations Pass/Fail
Practice Experiential Director Grade* 100 Points
TOTAL 500 Points
*Practice Experiential Director Grade – Accountability points described in P&P manual
In order to receive a passing grade for the rotation the intern:
1. Must NOT receive three (3) or more Needs Improvement (NI) ratings on the end of rotation evaluation
2. Must NOT receive one Significant Deficits Exists (“SD”) rating on the end of rotation evaluation
3. Must earn points for a passing grade of “C” or above
18
Grading Scale:
A letter grade is assigned based on the total points earned.
Letter Grade Total APPE Rotation Points Percentage A 450 – 500 points 90 – 100% B 400 – 449 points 80 – 89% C 350 – 399 points 70 – 79% D 325 – 349 points 65 – 69% repeat APPE F Less than 325 points Below 65% repeat APPE
ADDITIONAL RESOURCES: Refer to Ambulatory Care APPEs Blackboard course
19
PHAR 5663 Pharmacy Management ‐ Outpatient HOURS CREDIT: 6
COURSE PURPOSE:
The goal of the Pharmacy Management Advanced Pharmacy Practice Experience is to provide opportunities for students
to build upon knowledge and skills acquired through didactic education and Introductory Pharmacy Practice Experiences
and apply them in pharmacy management. Students will actively participate in the managerial aspects of a community
pharmacy with an emphasis on financial, operational, and human resource management, to provide the knowledge and
skills necessary for initiating and maintaining a successful pharmacy practice. Practice sites may include chain
pharmacies or hospital outpatient pharmacies.
Interprofessional Experience: The pharmacist is a member of an interdisciplinary team that serves the patient’s interest
above all other concerns. Team members may include pharmacists, physicians, physician assistants, nurse practitioners,
nurses, and other healthcare providers. This experience may be directed and evaluated by one or more preceptors.
PROFICIENCIES:
1. Apply foundational knowledge to manage safe and effective patient‐centered care
2. Apply principles of pharmacy practice management to pharmacy operations
3. Apply the systems approach to medication safety activities to identify and report medication errors
4. Apply pharmacy practice management skills related to human resources, medication resources, informatics,
pharmacy workload and financial performance
5. Communicate with healthcare personnel in a face to face, written or electronic media to reach optimal
outcomes
6. Display professional behavior, self‐awareness, advocacy, and commitment to the profession
ASSESSMENTS:
1. Preceptor evaluations of student
a. Mid rotation
b. End of rotation
2. Intern self‐evaluations
a. Start of rotation – due by day 1 of rotation
b. Mid rotation – due before Monday of week 4 of rotation
c. End of rotation – due by Thursday of week 6 of rotation
3. Assignments – due by last onsite day of week 6 of rotation
a. 1 Presentation
i. Examples of presentation include, but not limited to: patient case presentation, disease state
presentation, journal article evaluation, or other formal presentation as approved by preceptor.
20
ii. To be graded by preceptor using the appropriate rubric for presentation type
iii. Student is to upload completed evaluation form and handout/presentation slides to Evalue
Portfolio as directed on the evaluation form by the last onsite day of Week 6.
b. Other assignments or projects as deemed appropriate by preceptor for APPE
OTHER REQUIRED DOCUMENTS:
1. Hours logged properly in eValue
a. Minimum 240 hours
b. All verified by preceptor(s)
2. Student of Site Evaluation
3. Student of Preceptor Evaluation
GRADING PROCEDURES:
Grading will occur via electronic APPE evaluations on E‐Value. Students will receive a grade at midpoint that does not
count towards the final grade on a transcript. The grade received at midpoint evaluation will be utilized for student self‐
reflection and to set goals for the second remaining half of the rotation. Students will receive a final grade on the last
day of the APPE that will be transferred to the student’s transcript. Grading occurs via an automatic calculation present
in electronic evaluations in E‐Value.
Grading Criteria
The grading criteria is competency based. Minimal passing performance is 70%. A total of 500 points may be achieved
upon completion of the assigned APPE. These points are composed of scores as delineated below. The following
maximum point values may be achieved in each of the areas:
Final Evaluation from preceptor (rubric) 300 Points
Assignments 100 Points
Projects, assignments, interventions, evaluations Pass/Fail
Practice Experiential Director Grade* 100 Points
TOTAL 500 Points
*Practice Experiential Director Grade – Accountability points described in P&P manual
In order to receive a passing grade for the rotation the intern:
1. Must NOT receive three (3) or more Needs Improvement (NI) ratings on the end of rotation evaluation
2. Must NOT receive one Significant Deficits Exists (“SD”) rating on the end of rotation evaluation
3. Must earn points for a passing grade of “C” or above
Grading Scale:
21
A letter grade is assigned based on the total points earned.
Letter Grade Total APPE Rotation Points Percentage A 450 – 500 points 90 – 100% B 400 – 449 points 80 – 89% C 350 – 399 points 70 – 79% D 325 – 349 points 65 – 69% repeat APPE F Less than 325 points Below 65% repeat APPE
ADDITIONAL RESOURCES: Refer to Ambulatory Care APPEs Blackboard course
22
PHAR 5664 Legal and Regulatory HOURS CREDIT: 6
COURSE PURPOSE:
The goal of the Legal and Regulatory Advanced Pharmacy Practice Experience is to provide opportunities for students to
build upon knowledge and skills acquired through didactic education and Introductory Pharmacy Practice Experiences
and apply them on this rotation. Students will actively participate in the governmental framework within which
pharmacy is practiced, as well as acquire an understanding of the laws, regulations, and the ethical responsibilities
applicable to pharmacists so that they will be able to protect the public and ensure patient wellbeing. Practice sites
include Texas State Board of Pharmacy and Safety Net Pharmacy Association.
Interprofessional Experience: The pharmacist is a member of an interdisciplinary team that serves the patient’s interest
above all other concerns. Team members may include pharmacists, physicians, physician assistants, nurse practitioners,
nurses, and other healthcare providers. This experience may be directed and evaluated by one or more preceptors.
PROFICIENCIES:
1. Apply foundational knowledge to evaluate safe and effective patient‐centered care
2. Manage and prioritize workload
3. Participate in the daily function of the regulatory process of the organization
4. Communicate with pharmacists and health professionals effectively in oral and written format using appropriate
documentation methods and systems
5. Display professional behavior, self‐awareness, advocacy, and commitment to the profession
ASSESSMENTS:
1. Preceptor evaluations of student
a. Mid rotation
b. End of rotation
2. Intern self‐evaluations
a. Start of rotation – due by day 1 of rotation
b. Mid rotation – due before Monday of week 4 of rotation
c. End of rotation – due by Thursday of week 6 of rotation
3. Assignments
a. 1 Presentation
i. Examples of presentation include, but not limited to: patient case presentation, disease state
presentation, journal article evaluation, or other formal presentation as approved by preceptor.
ii. To be graded by preceptor using the appropriate rubric for presentation type
23
iii. Student is to upload completed evaluation form and handout/presentation slides to Evalue
Portfolio as directed on the evaluation form by the last onsite day of Week 6.
b. Other assignments or projects as deemed appropriate by preceptor for APPE
OTHER REQUIRED DOCUMENTS:
1. Hours logged properly in eValue
a. Minimum 240 hours
b. All verified by preceptor(s)
2. Student of Site Evaluation
3. Student of Preceptor Evaluation
Grading Procedures:
Grading will occur via electronic APPE evaluations on E‐Value. Students will receive a grade at midpoint that does not
count towards the final grade on a transcript. The grade received at midpoint evaluation will be utilized for student self‐
reflection and to set goals for the second remaining half of the rotation. Students will receive a final grade on the last
day of the APPE that will be transferred to the student’s transcript. Grading occurs via an automatic calculation present
in electronic evaluations in E‐Value.
Grading Criteria
The grading criteria is competency based. Minimal passing performance is 70%. A total of 500 points may be achieved
upon completion of the assigned APPE. These points are composed of scores as delineated below. The following
maximum point values may be achieved in each of the areas:
Final Evaluation from preceptor (rubric) 300 Points
Assignments 100 Points
Projects, assignments, interventions, evaluations Pass/Fail
Practice Experiential Director Grade* 100 Points
TOTAL 500 Points
*Practice Experiential Director Grade – Accountability points described in P&P manual
In order to receive a passing grade for the rotation the intern:
1. Must NOT receive three (3) or more Needs Improvement (NI) ratings on the end of rotation evaluation
2. Must NOT receive one Significant Deficits Exists (“SD”) rating on the end of rotation evaluation
3. Must earn points for a passing grade of “C” or above
Grading Scale:
24
A letter grade is assigned based on the total points earned.
Letter Grade Total APPE Rotation Points Percentage A 450 – 500 points 90 – 100% B 400 – 449 points 80 – 89% C 350 – 399 points 70 – 79% D 325 – 349 points 65 – 69% repeat APPE F Less than 325 points Below 65% repeat APPE
ADDITIONAL RESOURCES: Refer to Ambulatory Care APPEs Blackboard course
25
PHAR 5668 Managed Care HOURS CREDIT: 6
COURSE PURPOSE:
The goal of the Managed Care Advanced Pharmacy Practice Experience is to provide opportunities for students to build
upon knowledge and skills acquired through didactic education and Introductory Pharmacy Practice Experiences and
apply them on this rotation. Students will gain practical experience and knowledge on managed care and the healthcare
system as a whole and actively participate in providing managed prescription drug benefit analysis in US healthcare
programs, including Medicare, Medicaid, and employer‐based programs. Practice sites include managed care sites such
as the Texas Children’s Managed Care Program.
Interprofessional Experience: The pharmacist is a member of an interdisciplinary team that serves the patient’s interest
above all other concerns. Team members may include pharmacists, physicians, physician assistants, nurse practitioners,
nurses, and other healthcare providers. This experience may be directed and evaluated by one or more preceptors.
PROFICIENCIES:
1. Apply foundational knowledge to evaluate safe and effective patient‐centered care
2. Provide safe, effective and cost‐effective patient care to a diverse patient population following a consistent JCPP
pharmacist patient care process in collaboration with the health care team
3. Administer medications to a diverse patient population
4. Ensure continuity of care during patient transitions between care settings
5. Apply knowledge of managed care principles
6. Communicate with pharmacists and health professionals effectively in oral and written format using appropriate
documentation methods and systems
7. Display professional behavior, self‐awareness, advocacy, and commitment to the profession
ASSESSMENTS:
1. Preceptor evaluations of student
a. Mid rotation
b. End of rotation
2. Intern self‐evaluations
a. Start of rotation – due by day 1 of rotation
b. Mid rotation – due before Monday of week 4 of rotation
c. End of rotation – due by Thursday of week 6 of rotation
3. Assignments
a. 1 Presentation
26
i. Examples of presentation include, but not limited to: patient case presentation, disease state
presentation, journal article evaluation, or other formal presentation as approved by preceptor.
ii. To be graded by preceptor using the appropriate rubric for presentation type
iii. Student is to upload completed evaluation form and handout/presentation slides to Evalue
Portfolio as directed on the evaluation form by the last onsite day of Week 6.
b. Other assignments or projects as deemed appropriate by preceptor for APPE
OTHER REQUIRED DOCUMENTS:
1. Hours logged properly in eValue
a. Minimum 240 hours
b. All verified by preceptor(s)
2. Student of Site Evaluation
3. Student of Preceptor Evaluation
Grading Procedures:
Grading will occur via electronic APPE evaluations on E‐Value. Students will receive a grade at midpoint that does not
count towards the final grade on a transcript. The grade received at midpoint evaluation will be utilized for student self‐
reflection and to set goals for the second remaining half of the rotation. Students will receive a final grade on the last
day of the APPE that will be transferred to the student’s transcript. Grading occurs via an automatic calculation present
in electronic evaluations in E‐Value.
Grading Criteria
The grading criteria is competency based. Minimal passing performance is 70%. A total of 500 points may be achieved
upon completion of the assigned APPE. These points are composed of scores as delineated below. The following
maximum point values may be achieved in each of the areas:
Final Evaluation from preceptor (rubric) 300 Points
Assignments 100 Points
Projects, assignments, interventions, evaluations Pass/Fail
Practice Experiential Director Grade* 100 Points
TOTAL 500 Points
*Practice Experiential Director Grade – Accountability points described in P&P manual
In order to receive a passing grade for the rotation the intern:
1. Must NOT receive three (3) or more Needs Improvement (NI) ratings on the end of rotation evaluation
2. Must NOT receive one Significant Deficits Exists (“SD”) rating on the end of rotation evaluation
3. Must earn points for a passing grade of “C” or above
27
Grading Scale:
A letter grade is assigned based on the total points earned.
Letter Grade Total APPE Rotation Points Percentage A 450 – 500 points 90 – 100% B 400 – 449 points 80 – 89% C 350 – 399 points 70 – 79% D 325 – 349 points 65 – 69% repeat APPE F Less than 325 points Below 65% repeat APPE
ADDITIONAL RESOURCES: Refer to Ambulatory Care APPEs Blackboard course
28
PHAR 5670 Community Pharmaceutical Care HOURS CREDIT: 6
COURSE PURPOSE:
The goal of the Community Pharmaceutical Care Advanced Pharmacy Practice Experience is to provide opportunities for
students to build upon knowledge and skills acquired through didactic education and Introductory Pharmacy Practice
Experiences and apply them in direct patient care activities in the community pharmacy setting. Students will actively
participate in direct patient care using the elements of JCPP Pharmacist Care process which includes obtaining patient
medical and medication histories, providing drug regimen reviews, interviewing patients, evaluating therapy adherence,
consulting with physicians and non‐physician providers, providing education to patients and health care professionals.
This experience will be directed and evaluated by one or more preceptors. Practice sites include independent
community pharmacies, chain compounding pharmacies, community specialty pharmacies, or health facility pharmacies.
Interprofessional Experience: The pharmacist is a member of an interdisciplinary team that serves the patient’s interest
above all other concerns. Team members may include pharmacists, physicians, physician assistants, nurse practitioners,
nurses, and other healthcare providers. This experience may be directed and evaluated by one or more preceptors.
PROFICIENCIES:
1. Apply pharmacotherapy principles and foundational knowledge to deliver patient‐centered care
2. Provide safe, effective and cost‐effective patient care to a diverse patient population following a consistent JCPP
pharmacist patient care process in collaboration with the health care team
3. Accurately calculate and prepare medication products using correct techniques
4. Ensure continuity of care during patient transitions between care settings
5. Apply the systems approach to medication safety activities to identify and report medication errors
6. Apply pharmacy practice management skills related to human resources, medication resources, informatics,
pharmacy workload and financial performance
7. Provide education to patients, caregivers, health care professionals, students, and the public (individuals and
groups) on prescription medications, self‐care products which may include alternative therapies, devices, dietary
supplement, and complementary medications using culturally competent methods
8. Communicate with health professionals effectively in oral and written format using appropriate documentation
methods and systems
9. Display professional behavior, self‐awareness, advocacy, and commitment to the profession
ASSESSMENTS:
1. Preceptor evaluations of student
a. Mid rotation
b. End of rotation
29
2. Intern self‐evaluations
a. Start of rotation – due by day 1 of rotation
b. Mid rotation – due before Monday of week 4 of rotation
c. End of rotation – due by Thursday of week 6 of rotation
3. Case Logs – due by Tuesday of week 6 of rotation:
a. To be graded by APPE Director
b. Interventions will be graded on quality and completeness. E‐value Case Logs will be utilized for
interventions.
c. You are encouraged to document all interventions at your site, not just the minimum that is required.
d. Minimum total requirement: 10
i. Submit a variety of drug related problems (DRPs) and interventions reflective of the learning
experience
ii. Recommended intervention types: Disease/Condition Education, Drug Information
iii. Recommended DRP types: Drug‐Drug Interaction
e. For instructions on submitting a comprehensive case log, see video regarding Case Logs or Case Logs
slides in Blackboard
4. Assignments
a. 1 Presentation
i. Examples of presentation include, but not limited to: patient case presentation, disease state
presentation, journal article evaluation, or other formal presentation as approved by preceptor.
ii. To be graded by preceptor using the appropriate rubric for presentation type
iii. Student is to upload completed evaluation form and handout/presentation slides to Evalue
Portfolio as directed on the evaluation form by the last onsite day of Week 6.
b. Other assignments or projects as deemed appropriate by preceptor for APPE
OTHER REQUIRED DOCUMENTS:
1. Hours logged properly in eValue
a. Minimum 240 hours
b. All verified by preceptor(s)
2. Student of Site Evaluation
3. Student of Preceptor Evaluation
GRADING PROCEDURES:
Grading will occur via electronic APPE evaluations on E‐Value. Students will receive a grade at midpoint that does not
count towards the final grade on a transcript. The grade received at midpoint evaluation will be utilized for student self‐
reflection and to set goals for the second remaining half of the rotation. Students will receive a final grade on the last
day of the APPE that will be transferred to the student’s transcript. Grading occurs via an automatic calculation present
in electronic evaluations in E‐Value.
Grading Criteria
The grading criteria is competency based. Minimal passing performance is 70%. A total of 500 points may be achieved
upon completion of the assigned APPE. These points are composed of scores as delineated below. The following
maximum point values may be achieved in each of the areas:
Final Evaluation from preceptor (rubric) 300 Points
30
Assignments 100 Points
Projects, assignments, interventions, evaluations Pass/Fail
Practice Experiential Director Grade* 100 Points
TOTAL 500 Points
*Practice Experiential Director Grade – Accountability points described in P&P manual
In order to receive a passing grade for the rotation the intern:
1. Must NOT receive three (3) or more Needs Improvement (NI) ratings on the end of rotation evaluation
2. Must NOT receive one Significant Deficits Exists (“SD”) rating on the end of rotation evaluation
3. Must earn points for a passing grade of “C” or above
Grading Scale:
A letter grade is assigned based on the total points earned.
Letter Grade Total APPE Rotation Points Percentage A 450 – 500 points 90 – 100% B 400 – 449 points 80 – 89% C 350 – 399 points 70 – 79% D 325 – 349 points 65 – 69% repeat APPE F Less than 325 points Below 65% repeat APPE
ADDITIONAL RESOURCES: Refer to Ambulatory Care APPEs Blackboard course
31
PHAR 5672 Clinical Pharmaceutical Research HOURS CREDIT: 6
COURSE PURPOSE:
The goal of the Clinical Pharmaceutical Research Advanced Pharmacy Practice Experience is to provide opportunities for
students to build upon knowledge and skills acquired through didactic education and Introductory Pharmacy Practice
Experiences and apply them in research based activities. Students will actively participate in bench research in the
pharmacy field as well as pharmacy practice based research. This experience will be directed and evaluated by one or
more preceptors.
Interprofessional Experience: The pharmacist is a member of an interdisciplinary team that serves the patient’s interest
above all other concerns. Team members may include pharmacists, physicians, physician assistants, nurse practitioners,
nurses, and other healthcare providers. This experience may be directed and evaluated by one or more preceptors.
PROFICIENCIES:
1. Apply pharmacotherapy principles and foundational knowledge to research
2. Apply research practice management skills related to medication use, informatics, and clinical outcomes
3. Communicate with students, health care professionals, and research personnel in oral and written format using
appropriate documentation methods and systems
4. Display professional behavior, self‐awareness, advocacy, and commitment to the profession
ASSESSMENTS:
4. Preceptor evaluations of student
a. Mid rotation
b. End of rotation
5. Intern self‐evaluations
a. Start of rotation – due by day 1 of rotation
b. Mid rotation – due before Monday of week 4 of rotation
c. End of rotation – due by Thursday of week 6 of rotation
6. Assignments – due by last onsite day of week 6 of rotation
a. 1 Presentation
i. Examples of presentation include, but not limited to: patient case presentation, disease state
presentation, journal article evaluation, or other formal presentation as approved by preceptor.
ii. To be graded by preceptor using the appropriate rubric for presentation type
iii. Student is to upload completed evaluation form and handout/presentation slides to Evalue
Portfolio as directed on the evaluation form by the last onsite day of Week 6.
32
b. Others assignments or projects as deemed appropriate by preceptor for APPE
OTHER REQUIRED DOCUMENTS:
4. Hours logged properly in eValue
a. Minimum 240 hours
b. All verified by preceptor(s)
5. Student of Site Evaluation
6. Student of Preceptor Evaluation
GRADING PROCEDURES:
Grading will occur via electronic APPE evaluations on E‐Value. Students will receive a grade at midpoint that does not
count towards the final grade on a transcript. The grade received at midpoint evaluation will be utilized for student self‐
reflection and to set goals for the second remaining half of the rotation. Students will receive a final grade on the last
day of the APPE that will be transferred to the student’s transcript. Grading occurs via an automatic calculation present
in electronic evaluations in E‐Value.
Grading Criteria
The grading criteria is competency based. Minimal passing performance is 70%. A total of 500 points may be achieved
upon completion of the assigned APPE. These points are composed of scores as delineated below. The following
maximum point values may be achieved in each of the areas:
Final Evaluation from preceptor (rubric) 300 Points
Assignments 100 Points
Projects, assignments, interventions, evaluations Pass/Fail
Practice Experiential Director Grade* 100 Points
TOTAL 500 Points
*Practice Experiential Director Grade – Accountability points described in P&P manual
In order to receive a passing grade for the rotation the intern:
4. Must NOT receive three (3) or more Needs Improvement (NI) ratings on the end of rotation evaluation
5. Must NOT receive one Significant Deficits Exists (“SD”) rating on the end of rotation evaluation
6. Must earn points for a passing grade of “C” or above
33
Grading Scale:
A letter grade is assigned based on the total points earned.
Letter Grade Total APPE Rotation Points Percentage A 450 – 500 points 90 – 100% B 400 – 449 points 80 – 89% C 350 – 399 points 70 – 79% D 325 – 349 points 65 – 69% repeat APPE F Less than 325 points Below 65% repeat APPE
ADDITIONAL RESOURCES: Refer to Ambulatory Care APPEs Blackboard course
34
PHAR 5673 Veterinary Pharmaceutical Care HOURS CREDIT: 6
COURSE PURPOSE:
The goal of the Veterinary Pharmacy Advanced Pharmacy Practice Experience is to provide opportunities for students to
build upon knowledge and skills acquired through didactic education and Introductory Pharmacy Practice Experiences
and apply them in direct patient care activities in the ambulatory care setting. Students will actively participate in
veterinary patient care using the elements of JCPP Pharmacist Care process which includes obtaining patient medical
and medication histories, providing drug regimen reviews, interviewing patients, evaluating therapy adherence,
developing medication management plans, monitoring patients' therapeutic outcomes, consulting with physicians and
non‐physician providers, and providing education to veterinary patient’s caregivers and health care professionals. This
course takes place in veterinary pharmacy practice setting. Team members may include pharmacists, veterinarians,
nurses, and other healthcare providers. This experience will be directed and evaluated by one or more preceptors.
Practice sites include college of veterinary medicine and independent compounding pharmacies.
Interprofessional Experience: The pharmacist is a member of an interdisciplinary team that serves the patient’s interest
above all other concerns. Team members may include pharmacists, physicians, physician assistants, nurse practitioners,
nurses, and other healthcare providers. This experience may be directed and evaluated by one or more preceptors.
PROFICIENCIES:
1. Apply pharmacotherapy principles and foundational knowledge to deliver patient‐centered care
2. In collaboration with the health care team, provide safe and effective patient care to the veterinary patient
population following a consistent JCPP pharmacist patient care process
3. Accurately calculate, compound and prepare sterile and non‐sterile medication products using correct
techniques
4. Ensure continuity of care during patient transitions between care settings
5. Apply the systems approach to medication safety activities to identify and report medication errors
6. Apply pharmacy practice management skills related to human resources and informatics
7. Provide education to veterinary patient caregivers and health care professionals (individuals and groups) on
prescription medications using culturally competent methods
8. Communicate with health professionals effectively in oral and written format using appropriate documentation
methods and systems
9. Display professional behavior, self‐awareness, advocacy, and commitment to the profession
ASSESSMENTS:
1. Preceptor evaluations of student
a. Mid rotation
35
b. End of rotation
2. Intern self‐evaluations
a. Start of rotation – due by day 1 of rotation
b. Mid rotation – due before Monday of week 4 of rotation
c. End of rotation – due by Thursday of week 6 of rotation
3. Case Logs – due by Tuesday of week 6 of rotation:
a. To be graded by APPE Director
b. Interventions will be graded on quality and completeness. E‐value Case Logs will be utilized for
interventions.
c. You are encouraged to document all interventions at your site, not just the minimum that is required.
d. Minimum total requirement: 10
i. Submit a variety of drug related problems (DRPs) and interventions reflective of the learning
experience
ii. Recommended intervention types: Disease/Condition Education
iii. Recommended DRP types: Drug‐Drug Interaction
e. For instructions on submitting a comprehensive case log, see video regarding Case Logs or Case Logs
slides in Blackboard
4. Assignments
a. 2 SOAP Notes
i. 1 SOAP note from before midpoint
ii. 1 SOAP note from after midpoint
iii. To be graded by preceptor using the standard rubric
iv. May be in format other than SOAP that is utilized by site
v. Must complete first note before next one is completed
vi. Student to upload completed evaluation form and HIPAA compliant/deidentified notes (if
permitted by site) via Evalue Portfolio – Non‐Reflective Folder – Written Assignment link by the
last onsite day of Week 6.
vii. Save file for upload as “SOAP‐APPE#PHAR56XXLastNameFirstName”; # = Rotation block; XX ‐
Course number
b. 1 Drug Information Request
i. Use standard Drug Information Response form
ii. To be graded by preceptor using the standard rubric
iii. Student to upload completed evaluation form and completed Drug Information Response form
via Evalue Portfolio – Non‐Reflective Folder – Written Assignment link by the last onsite day of
Week 6.
iv. Save file for upload as “DIQ‐APPE#PHAR56XXLastNameFirstName”; # = Rotation block; XX ‐
Course number
c. 1 Presentation
i. Examples of presentation include, but not limited to: patient case presentation, disease state
presentation, journal article evaluation, or other formal presentation as approved by preceptor.
ii. To be graded by preceptor using the appropriate rubric for presentation type
iii. Student is to upload completed evaluation form and handout/presentation slides to Evalue
Portfolio as directed on the evaluation form by the last onsite day of Week 6.
d. Other assignments or projects as deemed appropriate by preceptor for APPE
OTHER REQUIRED DOCUMENTS:
1. Hours logged properly in eValue
36
a. Minimum 240 hours
b. All verified by preceptor(s)
2. Student of Site Evaluation
3. Student of Preceptor Evaluation
GRADING PROCEDURES
Grading will occur via electronic APPE evaluations on E‐Value. Students will receive a grade at midpoint that does not
count towards the final grade on a transcript. The grade received at midpoint evaluation will be utilized for student self‐
reflection and to set goals for the second remaining half of the rotation. Students will receive a final grade on the last
day of the APPE that will be transferred to the student’s3transcript. Grading occurs via an automatic calculation present
in electronic evaluations in E‐Value.
Grading Criteria
The grading criteria is competency based. Minimal passing performance is 70%. A total of 500 points may be achieved
upon completion of the assigned APPE. These points are composed of scores as delineated below. The following
maximum point values may be achieved in each of the areas:
Final Evaluation from preceptor (rubric) 300 Points
Assignments 100 Points
Projects, assignments, interventions, evaluations Pass/Fail
Practice Experiential Director Grade* 100 Points
TOTAL 500 Points
*Practice Experiential Director Grade – Accountability points described in P&P manual
In order to receive a passing grade for the rotation the intern:
1. Must NOT receive three (3) or more Needs Improvement (NI) ratings on the end of rotation evaluation
2. Must NOT receive one Significant Deficits Exists (“SD”) rating on the end of rotation evaluation
3. Must earn points for a passing grade of “C” or above
Grading Scale:
A letter grade is assigned based on the total points earned.
Letter Grade Total APPE Rotation Points Percentage A 450 – 500 points 90 – 100% B 400 – 449 points 80 – 89% C 350 – 399 points 70 – 79% D 325 – 349 points 65 – 69% repeat APPE F Less than 325 points Below 65% repeat APPE
ADDITIONAL RESOURCES: Refer to Ambulatory Care APPEs Blackboard course
37
PHAR 5675 and PHAR 5696 Ambulatory Care Disease State Management and
Primary Care HOURS CREDIT: 6
COURSE PURPOSE:
The goal of the Ambulatory Care Advanced Pharmacy Practice Experience is to provide opportunities for students to
build upon knowledge and skills acquired through didactic education and Introductory Pharmacy Practice Experiences
and apply them in direct patient care activities in the ambulatory care setting. Students will actively participate in direct
patient care using the elements of the JCPP Pharmacist Care process, which includes obtaining patient medical and
medication histories, providing drug regimen reviews, interviewing patients, evaluating therapy adherence, developing
medication management plans, monitoring therapeutic outcomes, consulting with physicians and non‐physician
providers, and providing education to patients and health care professionals. This course takes place in an ambulatory
care, multidisciplinary practice setting. Practice sites may include hospital‐based clinics, physician group practices,
community or public health clinics, managed care facilities that provide health care directly to patients, or similar
practice settings. Team members may include pharmacists, physicians, physician assistants, nurse practitioners, nurses,
and other healthcare providers. This experience will be directed and evaluated by one or more preceptors.
Interprofessional Experience: The pharmacist is a member of an interdisciplinary team that serves the patient’s interest
above all other concerns. Team members may include pharmacists, physicians, physician assistants, nurse practitioners,
nurses, and other healthcare providers. This experience may be directed and evaluated by one or more preceptors.
PROFICIENCIES:
1. Apply pharmacotherapy principles and foundational knowledge to deliver patient‐centered care
2. In collaboration with the health care team, provide safe, effective and cost‐effective patient care to a diverse
patient population following a consistent JCPP pharmacist patient care process
3. Administer medications to a diverse patient population
4. Ensure continuity of care during patient transitions between care settings
5. Apply the systems approach to medication safety activities to identify and report medication error
6. Apply pharmacy practice management skills related to human resources, medication resources, informatics,
pharmacy workload and financial performance
7. Provide education to patients, caregivers, health care professionals, students, and the public (individuals and
groups) on prescription medications, self‐care products which may include alternative therapies, devices, dietary
supplements, and complementary medications using culturally competent methods
8. Communicate with health professionals effectively in oral and written format using appropriate documentation
methods and systems
9. Display professional behavior, self‐awareness, advocacy, and commitment to the profession
38
ASSESSMENTS:
1. Preceptor evaluations of student
a. Mid rotation
b. End of rotation
2. Intern self‐evaluations
a. Start of rotation – due by day 1 of rotation
b. Mid rotation – due before Monday of week 4 of rotation
c. End of rotation – due by Thursday of week 6 of rotation
3. Case Logs – due by Tuesday of week 6 of rotation:
a. To be graded by APPE Director
b. Interventions will be graded on quality and completeness. E‐value Case Logs will be utilized for
interventions.
c. You are encouraged to document all interventions at your site, not just the minimum that is required.
d. Minimum total requirement: 10
i. Submit a variety of drug related problems (DRPs) and interventions reflective of the learning
experience
ii. Recommended intervention types: Chronic Medication Adjustment, Disease/Condition
Educations
iii. Recommended DRP types: Drug‐Drug Interaction
e. For instructions on submitting a comprehensive case log, see video regarding Case Logs or Case Logs
slides in Blackboard
4. Assignments
a. 2 SOAP Notes
i. 1 SOAP note from before midpoint
ii. 1 SOAP note from after midpoint
iii. To be graded by preceptor using the standard rubric
iv. May be in format other than SOAP that is utilized by site
v. Must complete first note before next one is completed
vi. Student to upload completed evaluation form and HIPAA compliant/deidentified notes (if
permitted by site) via Evalue Portfolio – Non‐Reflective Folder – Written Assignment link by the
last onsite day of Week 6.
vii. Save file for upload as “SOAP‐APPE#PHAR56XXLastNameFirstName”; # = Rotation block; XX ‐
Course number
b. 1 Drug Information Request
i. Use standard Drug Information Response form
ii. To be graded by preceptor using the standard rubric
iii. Student to upload completed evaluation form and completed Drug Information Response form
via Evalue Portfolio – Non‐Reflective Folder – Written Assignment link by the last onsite day of
Week 6.
iv. Save file for upload as “DIQ‐APPE#PHAR56XXLastNameFirstName”; # = Rotation block; XX ‐
Course number
c. 1 Journal Club
i. To be graded by preceptor using Journal Club evaluation rubric
ii. Student to upload completed evaluation form and handout/presentation slides via Evalue
Portfolio – Non‐Reflective Folder – Journal Club Review link by the last onsite day of Week 6.
39
iii. Save file for upload as “JC‐APPE#PHAR56XXLastNameFirstName”; # = Rotation block; XX ‐ Course
number
d. 1 Case Presentation
i. To be graded by preceptor using Case Presentation evaluation rubric
ii. Student to upload completed evaluation form and handout/presentation slides via Evalue
Portfolio – Non‐Reflective Folder – Presentations link by the last onsite day of Week 6.
iii. Save file for upload as “PRES‐APPE#PHAR56XXLastNameFirstName”; # = Rotation block; XX ‐
Course number
e. Other assignments or projects as deemed appropriate by preceptor for APPE
OTHER REQUIRED DOCUMENTS:
1. Hours logged properly in eValue
a. Minimum 240 hours
b. All verified by preceptor(s)
2. Student of Site Evaluation
3. Student of Preceptor Evaluation
GRADING PROCEDURES
Grading will occur via electronic APPE evaluations on E‐Value. Students will receive a grade at midpoint that does not
count towards the final grade on a transcript. The grade received at midpoint evaluation will be utilized for student self‐
reflection and to set goals for the second remaining half of the rotation. Students will receive a final grade on the last
day of the APPE that will be transferred to the student’s transcript. Grading occurs via an automatic calculation present
in electronic evaluations in E‐Value.
Grading Criteria
The grading criteria is competency based. Minimal passing performance is 70%. A total of 500 points may be achieved
upon completion of the assigned APPE. These points are composed of scores as delineated below. The following
maximum point values may be achieved in each of the areas:
Final Evaluation from preceptor (rubric) 300 Points
Assignments 100 Points
Projects, assignments, interventions, evaluations Pass/Fail
Practice Experiential Director Grade* 100 Points
TOTAL 500 Points
*Practice Experiential Director Grade – Accountability points described in P&P manual
In order to receive a passing grade for the rotation the intern:
1. Must NOT receive three (3) or more Needs Improvement (NI) ratings on the end of rotation evaluation
40
2. Must NOT receive one Significant Deficits Exists (“SD”) rating on the end of rotation evaluation
3. Must earn points for a passing grade of “C” or above
Grading Scale:
A letter grade is assigned based on the total points earned.
Letter Grade Total APPE Rotation Points Percentage A 450 – 500 points 90 – 100% B 400 – 449 points 80 – 89% C 350 – 399 points 70 – 79% D 325 – 349 points 65 – 69% repeat APPE F Less than 325 points Below 65% repeat APPE
ADDITIONAL RESOURCES: Refer to Ambulatory Care APPEs Blackboard course
41
PHAR 5686 Psychiatry ‐ Outpatient HOURS CREDIT: 6
COURSE PURPOSE:
The goal of the Psychiatry Pharmacy Advanced Pharmacy Practice Experience is to provide opportunities for students to
build upon knowledge and skills acquired through didactic education and Introductory Pharmacy Practice Experiences
and apply them in direct patient care activities in the ambulatory care setting. Students will actively participate in
psychiatric patient care using the elements of JCPP Pharmacist Care process which includes obtaining patient medical
and medication histories, providing drug regimen reviews, interviewing patients, evaluating therapy adherence,
developing medication management plans, monitoring patients' therapeutic outcomes, consulting with physicians and
non‐ physician providers, and providing education to veterinary patients’ caregivers and health care professionals. This
course takes place in psychiatry pharmacy practice setting. Team members may include pharmacists, physician, nurses,
and other healthcare providers. This experience will be directed and evaluated by one or more preceptors.
Interprofessional Experience: The pharmacist is a member of an interdisciplinary team that serves the patient’s interest
above all other concerns. Team members may include pharmacists, physicians, physician assistants, nurse practitioners,
nurses, and other healthcare providers. This experience may be directed and evaluated by one or more preceptors.
PROFICIENCIES:
1. Apply pharmacotherapy principles and foundational knowledge to deliver patient‐centered care
2. In collaboration with the health care team, provide safe, effective and cost‐ effective patient care to a diverse
patient population following a consistent JCPP pharmacist patient care process
3. Administer medications to a diverse patient population
4. Ensure continuity of care during patient transitions between care settings
5. Apply the systems approach to medication safety activities to identify and report medication errors
6. Apply pharmacy practice management skills related to human resources, medication resources, informatics,
pharmacy workload and financial performance
7. Provide education to patients, caregivers, health care professionals, students, and the public (individuals and
groups) on prescription medications, self‐ care products which may include alternative therapies, devices,
dietary supplements, and complementary medications using culturally competent methods
8. Communicate with health professionals effectively in oral and written format using appropriate documentation
methods and systems
9. Display professional behavior, self‐awareness, advocacy, and commitment to the profession
ASSESSMENTS:
1. Preceptor evaluations of student
a. Mid rotation
42
b. End of rotation
2. Intern self‐evaluations
a. Start of rotation – due by day 1 of rotation
b. Mid rotation – due before Monday of week 4 of rotation
c. End of rotation – due by Thursday of week 6 of rotation
3. Case Logs – due by Tuesday of week 6 of rotation:
a. To be graded by APPE Director
b. Interventions will be graded on quality and completeness. E‐value Case Logs will be utilized for
interventions.
c. You are encouraged to document all interventions at your site, not just the minimum that is required.
d. Minimum total requirement: 10
i. Submit a variety of drug related problems (DRPs) and interventions reflective of the learning
experience
ii. Recommended intervention types: Chronic Medication Adjustment, Disease/Condition
Education interventions
iii. Recommended DRP types: Drug‐Drug Interaction
e. For instructions on submitting a comprehensive case log, see video regarding Case Logs or Case Logs
slides in Blackboard
4. Assignments
a. 2 SOAP Notes
i. 1 SOAP note from before midpoint
ii. 1 SOAP note from after midpoint
iii. To be graded by preceptor using the standard rubric
iv. May be in format other than SOAP that is utilized by site
v. Must complete first note before next one is completed
vi. Student to upload completed evaluation form and HIPAA compliant/deidentified notes (if
permitted by site) via Evalue Portfolio – Non‐Reflective Folder – Written Assignment link by the
last onsite day of Week 6.
vii. Save file for upload as “SOAP‐APPE#PHAR56XXLastNameFirstName”; # = Rotation block; XX ‐
Course number
b. 1 Drug Information Request
i. Use standard Drug Information Response form
ii. To be graded by preceptor using the standard rubric
iii. Student to upload completed evaluation form and completed Drug Information Response form
via Evalue Portfolio – Non‐Reflective Folder – Written Assignment link by the last onsite day of
Week 6.
iv. Save file for upload as “DIQ‐APPE#PHAR56XXLastNameFirstName”; # = Rotation block; XX ‐
Course number
c. 1 Presentation
i. Examples of presentation include, but not limited to: patient case presentation, disease state
presentation, journal article evaluation, or other formal presentation as approved by preceptor.
ii. To be graded by preceptor using the appropriate rubric for presentation type
iii. Student is to upload completed evaluation form and handout/presentation slides to Evalue
Portfolio as directed on the evaluation form by the last onsite day of Week 6.
d. Other assignments or projects as deemed appropriate by preceptor for APPE
OTHER REQUIRED DOCUMENTS:
43
1. Hours logged properly in eValue
a. Minimum 240 hours
b. All verified by preceptor(s)
2. Student of Site Evaluation
3. Student of Preceptor Evaluation
GRADING PROCEDURES:
Grading will occur via electronic APPE evaluations on E‐Value. Students will receive a grade at midpoint that does not
count towards the final grade on a transcript. The grade received at midpoint evaluation will be utilized for student self‐
reflection and to set goals for the second remaining half of the rotation. Students will receive a final grade on the last
day of the APPE that will be transferred to the student’s transcript. Grading occurs via an automatic calculation present
in electronic evaluations in E‐ Value.
Grading Criteria
The grading criteria is competency based. Minimal passing performance is 70%. A total of 500 points may be achieved
upon completion of the assigned APPE. These points are composed of scores as delineated below. The following
maximum point values may be achieved in each of the areas:
Final Evaluation from preceptor (rubric) 300 Points
Assignments 100 Points
Projects, assignments, interventions, evaluations Pass/Fail
Practice Experiential Director Grade* 100 Points
TOTAL 500 Points
*Practice Experiential Director Grade – Accountability points described in P&P manual
In order to receive a passing grade for the rotation the intern:
1. Must NOT receive three (3) or more Needs Improvement (NI) ratings on the end of rotation evaluation
2. Must NOT receive one Significant Deficits Exists (“SD”) rating on the end of rotation evaluation
3. Must earn points for a passing grade of “C” or above
Grading Scale
A letter grade is assigned based on the total points earned.
Letter Grade Total APPE Rotation Points Percentage A 450 – 500 points 90 – 100% B 400 – 449 points 80 – 89% C 350 – 399 points 70 – 79% D 325 – 349 points 65 – 69% repeat APPE F Less than 325 points Below 65% repeat APPE
ADDITIONAL RESOURCES: Refer to Ambulatory Care APPEs Blackboard course
44
PHAR 5691 Drug Information – Outpatient HOURS CREDIT: 6
COURSE PURPOSE:
The goal of the Drug Information Advanced Pharmacy Practice Experience is to provide opportunities for students to
build upon knowledge and skills acquired through didactic education and Introductory Pharmacy Practice Experiences
and apply them in direct patient care activities in the ambulatory care setting. Students will actively participate in
providing a drug information service while demonstrating knowledge drug information systems, application of the
primary drug literature in responding to drug information requests, and effective oral and written communication skills.
Team members may include pharmacists and physicians. This rotation experience will be directed and evaluated by one
or more preceptors.
Interprofessional Experience: The pharmacist is a member of an interdisciplinary team that serves the patient’s interest
above all other concerns. Team members may include pharmacists, physicians, physician assistants, nurse practitioners,
nurses, and other healthcare providers. This experience may be directed and evaluated by one or more preceptors.
PROFICIENCIES:
1. Apply pharmacotherapy principles and foundational knowledge to deliver patient‐centered care
2. Apply knowledge of the structural and functional dimensions of a Drug Information Service
3. Apply pharmacy practice management skills related to human resources, medication resources, informatics,
pharmacy workload and financial performance
4. Communicate with health professionals effectively in oral and written format using appropriate documentation
methods and systems
5. Display professional behavior, self‐awareness, advocacy, and commitment to the profession
ASSESSMENTS:
1. Preceptor evaluations of student
a. Mid rotation
b. End of rotation
2. Intern self‐evaluations
a. Start of rotation – due by day 1 of rotation
b. Mid rotation – due before Monday of week 4 of rotation
c. End of rotation – due by Thursday of week 6 of rotation
3. Assignments
a. 6 Drug Information Request
i. 1 request per week
45
ii. Use standard Drug Information Response form
iii. To be graded by preceptor using the standard rubric
iv. Student to upload completed evaluation form and completed Drug Information Response form
via Evalue Portfolio – Non‐Reflective Folder – Written Assignment link by the last onsite day of
Week 6.
v. Save file for upload as “DIQ‐APPE#PHAR56XXLastNameFirstName”; # = Rotation block; XX ‐
Course number
b. 1 Presentation
i. Examples of presentation include, but not limited to: patient case presentation, disease state
presentation, journal article evaluation, or other formal presentation as approved by preceptor.
ii. To be graded by preceptor using the appropriate rubric for presentation type
iii. Student is to upload completed evaluation form and handout/presentation slides to Evalue
Portfolio as directed on the evaluation form by the last onsite day of Week 6.
c. Other assignments or projects as deemed appropriate by preceptor for APPE
OTHER REQUIRED DOCUMENTS:
1. Hours logged properly in eValue
a. Minimum 240 hours
b. All verified by preceptor(s)
2. Student of Site Evaluation
3. Student of Preceptor Evaluation
Grading Procedures:
Grading will occur via electronic APPE evaluations on E‐Value. Students will receive a grade at midpoint that does not
count towards the final grade on a transcript. The grade received at midpoint evaluation will be utilized for student self‐
reflection and to set goals for the second remaining half of the rotation. Students will receive a final grade on the last
day of the APPE that will be transferred to the student’s transcript. Grading occurs via an automatic calculation present
in electronic evaluations in E‐ Value.
Grading Criteria
The grading criteria is competency based. Minimal passing performance is 70%. A total of 500 points may be achieved
upon completion of the assigned APPE. These points are composed of scores as delineated below. The following
maximum point values may be achieved in each of the areas:
Final Evaluation from preceptor (rubric) 300 Points
Assignments 100 Points
Projects, assignments, interventions, evaluations Pass/Fail
Practice Experiential Director Grade* 100 Points
TOTAL 500 Points
*Practice Experiential Director Grade – Accountability points described in P&P manual
46
In order to receive a passing grade for the rotation the intern:
1. Must NOT receive three (3) or more Needs Improvement (NI) ratings on the end of rotation evaluation
2. Must NOT receive one Significant Deficits Exists (“SD”) rating on the end of rotation evaluation
3. Must earn points for a passing grade of “C” or above
Grading Scale:
A letter grade is assigned based on the total points earned.
Letter Grade Total APPE Rotation Points Percentage A 450 – 500 points 90 – 100% B 400 – 449 points 80 – 89% C 350 – 399 points 70 – 79% D 325 – 349 points 65 – 69% repeat APPE F Less than 325 points Below 65% repeat APPE
ADDITIONAL RESOURCES: Refer to Ambulatory Care APPEs Blackboard course
47
PHAR 5693 Advanced Community Pharmacy HOURS CREDIT: 6
COURSE PURPOSE:
The goal of the Advanced Community Advanced Pharmacy Practice Experience is to provide opportunities for students
to build upon knowledge and skills acquired through didactic education and Introductory Pharmacy Practice Experiences
and apply them in direct patient care activities in the community pharmacy setting. Students will actively participate in
direct patient care using the elements of JCPP Pharmacist Care process which includes obtaining patient medical and
medication histories, providing drug regimen reviews, interviewing patients, evaluating therapy adherence, developing
medication management plans, monitoring patients' therapeutic outcomes, consulting with physicians and non‐
physician providers, and providing education to patients and health care professionals. This course takes place in a
community pharmacy setting. Practice sites include moderate volume community pharmacies with adequate OTC. This
experience will be directed and evaluated by one or more preceptors.
Interprofessional Experience: The pharmacist is a member of an interdisciplinary team that serves the patient’s interest
above all other concerns. Team members may include pharmacists, physicians, physician assistants, nurse practitioners,
nurses, and other healthcare providers. This experience may be directed and evaluated by one or more preceptors.
PROFICIENCIES:
1. Apply pharmacotherapy principles and foundational knowledge to deliver patient‐ centered care
2. Appropriately prepare, dispense, and administer medications to a diverse patient population
3. Identify, document and manage medication safety issues
4. Consult and advise patients and caregivers on prescription medications, self‐care products, alternative
therapies, devices, dietary supplements, and complementary medications
5. Manage the medication use system effectively
6. Participate in the promotion of public health
7. Collaborate with interprofessional healthcare members to optimize patient health and medication outcomes
8. Apply pharmacy practice management skills related to human resources, medication resources, pharmacy
data systems, pharmacy workload and financial performance
9. Provide education to patients, caregivers, health care professionals, students, and the public (individuals and
groups) on prescription medications, self‐care products which may include alternative therapies, devices,
dietary supplement, and complementary medications using culturally competent methods
10. Communicate with a diverse patient population, caregiver, and health care professional to reach optimal
outcomes
11. Display professional behavior, self‐awareness, advocacy, and commitment to the profession
48
ASSESSMENTS:
1. Preceptor evaluations of student
a. Mid rotation
b. End of rotation
2. Intern self‐evaluations
a. Start of rotation – due by day 1 of rotation
b. Mid rotation – due before Monday of week 4 of rotation
c. End of rotation – due by Thursday of week 6 of rotation
3. Case Logs – due by Tuesday of week 6 of rotation:
a. To be graded by APPE Director
b. Interventions will be graded on quality and completeness. E‐value Case Logs will be utilized for
interventions.
c. You are encouraged to document all interventions at your site, not just the minimum that is
required.
d. Minimum total requirement: 10
i. Submit a variety of drug related problems (DRPs) and interventions reflective of the learning
experience
ii. Recommended intervention types: Counseling, Device; Counseling, Pediatric; Drug Information
iii. Recommended DRP types: Medication Error
e. For instructions on submitting a comprehensive case log, see video regarding Case Logs or Case Logs
slides.
4. Assignments
a. 3 Self‐Care (OTC) Educations
i. Use standard form in Appendix titled “Documentation Form for OTC Consult”
ii. Preceptor to give feedback for first 2 OTC consults and grade final OTC consult using grading
rubric
iii. Student to upload completed evaluation form and completed final documentation form via
Evalue Portfolio – Non‐Reflective Folder – Advanced Community link by the last onsite day of
Week 6.
iv. Save file for upload as “OTC‐APPE#PHAR56XXLastNameFirstName”; # = Rotation block; XX ‐
Course number
b. 1 RPh and technician schedule for one week.
i. To be graded by preceptor using the standard rubric
ii. Student to upload completed evaluation form and completed schedule via Evalue Portfolio –
Non‐Reflective Folder – Advanced Community link by the last onsite day of Week 6.
iii. Save file for upload as “SCHED‐APPE#PHAR56XXLastNameFirstName”; # = Rotation block; XX ‐
Course number
c. 1 DEA 222 Form
i. Use either a de‐identified form from store or the blank one in the Appendix to document form
completion.
ii. To be graded by preceptor using the standard rubric
iii. Student to upload completed evaluation form and completed 222 form via Evalue Portfolio –
Non‐Reflective Folder – Advanced Community link by the last onsite day of Week 6.
iv. Save file for upload as “222‐APPE#PHAR56XXLastNameFirstName”; # = Rotation block; XX ‐
Course number
d. 2 Major Interactions
i. Use standard form in Appendix titled “Major Interaction Form,” complete with resolution
ii. To be graded by preceptor using the standard rubric
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iii. Student to upload completed evaluation form and completed interaction form via Evalue
Portfolio – Non‐Reflective Folder – Advanced Community link by the last onsite day of Week 6.
iv. Save file for upload as “INTRX‐APPE#PHAR56XXLastNameFirstName”; # = Rotation block; XX ‐
Course number
e. Others assignments or projects as deemed appropriate by preceptor for APPE
OTHER REQUIRED DOCUMENTS:
1. Advanced Community Assignments Grading Rubric – due by last onsite day of week 6 of rotation
a. Preceptor to complete the grading rubric for the 4 assignments – each out of 100 points. The preceptor
will enter grades from the assignments on EValue Preceptor End of Rotation evaluation.
b. Student to upload completed evaluation form and completed Drug Information Response form via
Evalue Portfolio – Non‐Reflective Folder – Advanced Community link by the last onsite day of Week 6.
c. Save file for upload as “AC‐APPE#PHAR5693LastNameFirstName”; # = Rotation block
2. Hours logged properly in eValue
a. Minimum 240 hours
b. All verified by preceptor(s)
3. Student of Site Evaluation
4. Student of Preceptor Evaluation
GRADING PROCEDURES:
Grading will occur via electronic APPE evaluations on E‐Value. Students will receive a grade at midpoint that does not
count towards the final grade on a transcript. The grade received at midpoint evaluation will be utilized for student self‐
reflection and to set goals for the second remaining half of the rotation. Students will receive a final grade on the last
day of the APPE that will be transferred to the student’s transcript. Grading occurs via an automatic calculation present
in electronic evaluations in E‐Value.
Grading Criteria
Grading Criteria is competency based. Minimal passing performance is 70%. A total of 500 points may be achieved upon
completion of the assigned APPE. These points are composed of scores as delineated below. The following maximum
point values may be achieved in each of the areas:
Final Evaluation from preceptor (rubric) 200 Points
Final Exam 100 points
Assignments 100 Points
Projects, assignments, interventions, evaluations Pass/Fail
Practice Experiential Director Grade* 100 Points
TOTAL 500 Points
50
*Practice Experiential Director Grade – Accountability points described in P&P manual
In order to receive a passing grade for the rotation the intern:
1. Must earn a minimum of 70% on the Advanced Community Pharmacy examination
2. Must NOT receive three (3) or more Needs Improvement (NI) ratings on the end of rotation evaluation
3. Must NOT receive one Significant Deficits Exists (“SD”) rating on the end of rotation evaluation
4. Must earn points for a passing grade of “C” or above
Grading Scale:
A letter grade is assigned based on the total points earned.
Letter Grade Total APPE Rotation Points Percentage A 450 – 500 points 90 – 100% B 400 – 449 points 80 – 89% C 350 – 399 points 70 – 79% D 325 – 349 points 65 – 69% repeat APPE F Less than 325 points Below 65% repeat APPE
ADDITIONAL RESOURCES: Refer to Ambulatory Care APPEs Blackboard course
51
APPENDIX
The QuEST/SCHOLAR‐MAC process – OTC Counseling
Qu – Quickly and accurately assess the patient; ask about current complaint using the SCHOLAR process:
o S – Symptoms – what are the main and associated/related symptoms?
o C – Characteristics – what are the symptoms like?
o H – History – what has been done so far? Has this ever happened before, and if so, what was done?
What was successful, what wasn’t?
o Onset – when did this particular problem start?
o L – Location – where is the problem?
o A – Aggravating factors – what makes it worse?
o R – Remitting factors – what makes it better?
E – Establish that the patient is an appropriate candidate for self‐care. Use the following to guide your decision:
o No severe symptoms (subjective assessment, but important)
o No symptoms that persist or return repeatedly
o No self‐treating to avoid necessary medical care
S – Suggest appropriate self‐care strategies
o Medications
o General care measures
T – Talk with the patient
o Medication Action
o Administration
o Adverse effects and their management
o What to expect from treatment
o What is appropriate follow‐up: when, with whom, for what
M – Medications – ask about OTC and Rx meds, and natural products/vitamins/therapeutic foods, etc.
A – Allergies – ask about all allergies (meds, environmental, chemical, etc.)
C – Conditions – ask about medical conditions, diseases – when diagnosed, how treated, etc.
Determine a plan for follow‐up and assessing response, where appropriate.
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Documentation of OTC Consults Form: Documentation of OTC Consults:
Student Name: Date:
Assessment
Symptoms:
Symptom severity (circle one):
Mild Moderate Severe 1 2 3 4 5 6 7 8 9 10
Characteristics:
History:
Onset:
Location:
Aggravating Factors:
Relieving/Remitting Factors:
Allergies:
Meds (Rx and OTC):
Medical Conditions
Is the patient a candidate for OTC therapy (explain):
Suggest a product: What was recommended? List product, dosing, other pertinent information: Product/Dosage form:
Dose for patient/condition:
Notes:
TALK/Counseling:
Follow‐up: When and with whom?
RPh to call patient (circle one)? Yes No Date/Time for Follow‐up:
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DEA 222 Forms
54
55
Major Interaction Form Major Interaction Form
Student Name: Date:
Drug:
Description of Interaction:
Category/source:
Resolution:
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Exam Topics Students will take the exam online on ExamSoft
1) Product identifications including trade name, generic name, primary indication, usual d o s i n g schedule, and
side effects.
2) Pharmacy law questions as it applies to community practice.
3) Questions covering OTC products, third party programs, patient counseling, and pharmaceutical care topics.
4) Required Reading material
5) Math exam ‐ questions including:
a) Prescription markups
b) Gross profit calculations
c) Miscellaneous commercial calculations
d) Temperature conversions
e) W/W, W/V, V/V problems
Advanced Community Pharmacy Study Guide Over The Counter (OTC)
What OTC products can be recommended to a person with diabetes?
What OTC Products can be recommended to a person with hypertension?
What OTC Products can be recommended to a woman who is pregnant? During the 1st trimester: During the 3rd
trimester:
Throughout the entire pregnancy:
What OTC medications can be used during lactation?
Pediatrics
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What is the pediatric dosing for the following drugs?
Aspirin
Acetaminophen
Ibuprofen
Trimethoprim/Sulfamethoxazole
Amoxicillin (otitis media)
Erythromycin
Pseudoephedrine
Analgesics/Antipyretics
List the OTC analgesic/antipyretic drugs that may be given to infants 0 to 2 years with dosing, potential side effects, and
contraindications:
List the OTC analgesic/antipyretic drugs that may be given to children 2 years and up with dosing, potential side effects,
and contraindications:
For the following analgesics list: OTC Brand Names, OTC length of use, maximum OTC dose, side effects, and
contraindications:
Acetaminophen
Aspirin
Ibuprofen
Ketoprofen
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Naproxen Sodium
What herbal or nutraceutical products are available OTC for analgesic, antipyretic, or joint pain? List their brand name,
active ingredients, label uses, and recommended dosage.
Antacids & H2 Antagonists
Name the use and common side effects with the following product ingredients:
Sodium Bicarbonate
Calcium Carbonate
Aluminum Magnesium
Aluminum and Magnesium Hydroxides
What medications can interact with antacid products?
59
Name the MAJOR active ingredients in the following products: Gas‐X, Gaviscon, Mylanta, Mylicon, Rolaids
List the H2 antagonist products available OTC including: Brand Name, active ingredients, recommended dosage,
contraindications for use, and side effects.
What proton pump inhibitor is available OTC for heartburn? What is its length of use OTC, contraindications for use, and
side effects?
Laxatives/Antidiarrheals/Antigas/Hemorrhoidal Products
What is the mechanism of action of each of the following laxatives, active ingredients, recommended dosage, and give
an example of each one:
Stimulants
Bulk‐forming
Emollient
Lubricant
Saline enemas
Suppositories
What advice would you give to patients concerning laxative products?
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List the anti‐gas products available OTC with brand name, active ingredient and dose.
List the antidiarrheal products available OTC with brand name, active ingredient, dose, and mechanism of action of the
active ingredient.
List the hemorrhoidal products available OTC with brand name, active ingredient, and dose.
Cough/Cold/Allergy Products
List the brand name and generic name of products in the following categories also name the use, a major side effect, a
contraindication and suggested dosing (if it is a combination product, list in all categories that apply)
Antihistamines
Drowsy
Non‐Drowsy
Decongestants
Antitussives
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Expectorants
Cough suppressants
What is the difference between a humidifier and a vaporizer?
Vitamins/Minerals
What are the fat‐soluble vitamins?
What are the water‐soluble vitamins?
Calcium Supplements – list the brand name, strengths, and recommended dosage
Calcium citrate
Calcium lactate
Calcium gluconate
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Calcium carbonate
Which of the calcium supplements has the best absorption?
Which of the calcium supplements has the least effect on the stomach? i.e., stomach pain and nausea, etc.
Name the major drug interactions with calcium products:
Iron Supplement – list the Brand Name, strengths, and recommended dosage
Ferrous sulfate
Ferrous gluconate
Ferrous fumarate
Which of the iron supplement has the best absorption? Name the major drug interactions with iron products:
Herbal Products
What are the uses, side effects and contraindications of the following:
Glucosamine Chondroitin
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DHEA
St. John’s Wort
Zinc lozenges
Ginseng Ginkoba
Garlic Echinacea
Golden Seal
Green Tea Extract
Sleep Aids and Sedative Products
What is the major active ingredient of the following? List dosage and recommend length of use.
Nytol
Sominex
Tylenol PM
Unisom
What is Melatonin and what is its mechanism of action?
64
List OTC topical products for analgesia, active ingredients and recommended use:
List OTC topical antibacterial products, active ingredients, and recommended use:
List OTC topical antiseptic products, active ingredients, and recommended use:
List OTC topical anti‐itch products, active ingredients, and recommended use:
List OTC topical antifungal products, active ingredients, and recommended use:
List OTC vaginal antifungal products, active ingredients, and recommended use:
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List OTC wart products, active ingredients, and recommended dosage:
Other OTC Products/Areas
What is Syrup of Ipecac and how should it be used?
What is the product “Swimmer’s Ear”?
What is “pinkeye” and what OTC preparation(s) can be use for it?
What is the best treatment for an insect bite?
What is “Dr. Smith’s Ointment” and what is it use for?
List 3 ear and 5 eye products; give their use, active ingredients, major side effects and contraindications.
Define and explain the following and give examples:
1. Return on Equity:
66
2. Gross Margin Percentage:
3. Current ratio:
4. Quick ratio:
5. Inventory turnover:
6. Break even analysis of a business:
7. Prescription pricing using the:
a) Markup method
b) Professional fee method
c) Sliding scale method
8. Inventory control terms:
a) Acquisition cost
b) Procurement costs
c) Carrying costs
9. What is a prime vendor?
10. What is a “gross profit?”
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SAMPLE COMMERCIAL CALCULATONS
1. Calculate the retail price on a prescription item (exclusive of additional professional fees, cost of the container,
etc) if the item costs $3.50 and a 100% markup on the cost is desired.
2. What percent of gross profit would be realized on the item in problem 1?
3. Calculate the selling price of an article which was bought at $6.00 per dozen, if the overhead was 25% of the
gross sales and the new profit was 8% of the selling price.
4. The gross sales of a store are $380,000 per year and the total overhead is $120,000. At what price must an
article be sold if it costs $8.00 per dozen and the store is to make a 10% net profit?
5. An order of toys cost $350.00 plus $20.00 freight. The selling price for the whole lot is $550.00, and other
overhead expenses are 25% of sales. What percent net profit is realized?
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6. A solution manufacturer packs 6 bottles of the solution to each case. The bottles of solution cost the buyer
$1.50 each, less a 40% trade discount. On the purchase of 48 cases or more, an additional 15% discount is given, plus a
2% cash discount. Calculate the buyer’s cost of 12 dozen cases of the merchandise, bought under the foregoing terms, if
the freight on the shipment is prepaid.
SAMPLE COMMERCIAL CALCULATIONS/ANSWERS
1. Calculate the retail price on a prescription item (exclusive of additional professional fees, cost of the container,
etc) if the item costs $3.50 and a 100% markup on the cost is desired.
Cost = $3.50
$ 3.50 x 100% = $3.50, the amount of markup
$ 3.50 + $ 3.50 = $7.00, the retail price
Answer: $7.00
2. What percent of gross profit would be realized on the item in problem 1?
$ 3.50 (mark‐up)/ $7.00 (selling price) x 100% = 50 %
Answer: 50%, the percent of the gross profit based on the selling price.
3. Calculate the selling price of an article which was bought at $6.00 per dozen, if the overhead was 25% of the
gross sales and the new profit was 8% of the selling price.
12 articles cost $6.00
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$6.00 divided by 12 = $0.50, cost of one article 100% = s e l l i n g price
100% ‐ { 25% (overhead) + 8% (net profit) } = cost 100% ‐ 33% (gross profit) = 67%, the cost of the article
$0.50 = 67% of the selling price X = 100% of the selling price 67 X = 50
X = $0.746 or $0.75, the selling price of the article
Answer: $0.75, the selling price of the article
4. The gross sales of a store are $380,000 per year and the total overhead is $120,000. At what price must an
article be sold if it costs $8.00 per dozen and the store is to make a 10% net profit?
12 articles cost $8.00
$8.00 divided by 12 = $0.67, the cost of one article
$120,000/$380,000 x 1 0 0 % = 31.5%, the overhead
31.5% (overhead) + 10 % (net profit) = 4 1 . 5 % markup or GP
100% (total sales) ‐ 4 1 . 5 % (gross profit) = 5 8 . 5 %, the cost of the article based on
the selling price
Therefore: $0.67 (cost)/1.14 = 58.5%
Answer: $1.14, the selling price of the article based on the given overhead, if a 10% net profit is to be realized
5. An order of toys cost $350.00 plus $20.00 freight. The selling price for the whole lot is
$550.00, and other overhead expenses are 25% of sales. What percent net profit is realized?
Total costs = $350.00 + $ 20.00 = $ 370.00 Overhead = $550.00 x 0 .25 = $ 137.50
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Total expense = $370.00 + 1 3 7 . 5 0 = $ 507.50
$550.00 ‐ $ 507.50 = $42.50
$42.50/$550.00 X 100% = 7 . 7 3 %
Answer: 7.73%
6. A solution manufacturer packs 6 bottles of the solution to each case. The bottles of solution cost the buyer
$1.50 each, less a 40% trade discount. On the purchase of 48 cases or more, an additional 15% discount is given, plus a
2% cash discount. Calculate the buyer’s cost of 12 dozen cases of the merchandise, bought under the foregoing terms, if
the freight on the shipment is prepaid.
12 dozen cases = 12 x 12 = 144 cases
144 x 6 (bottles/case) = 864 bottles bought 1 bottle costs $1.50 less a 40% trade discount
$1.50 x 0.40 = $0.60, the amount of trade discount on one bottle
$1.50 x 0.60 = $0.90, the cost per bottle less the trade discount
$0.90 x 0.15 = $0.135, the amount of the quantity discount
$0.90 ‐ $0.135 = $0.765, the cost per bottle less the quantity discount
$0.765 x 0.02 = $0.0153, the amount of the cash disc.
$0.765 ‐ $0.0153 = $0.75, the net cost per bottle
$0.75 x 864 bottles = $648.00, the net cost of the lot of merchandise
Answer: $648.00, the net cost of the lot of merchandise
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PHAR 5695 Geriatrics – Outpatient HOURS CREDIT: 6
COURSE PURPOSE:
The goal of the Geriatric Advanced Pharmacy Practice Experience is to provide opportunities for students to build upon
knowledge and skills acquired through didactic education and Introductory Pharmacy Practice Experiences and apply
them in direct patient care activities in the ambulatory care setting. Students will actively participate in direct patient
care using the elements of JCPP Pharmacist Care process which includes obtaining patient medical and medication
histories, providing drug regimen reviews, interviewing patients, evaluating therapy adherence, developing medication
management plans, monitoring patients' therapeutic outcomes, consulting with physicians and non‐physician providers,
and providing education to long term care patients and health care professionals. Team members may include
pharmacists, physicians, and other healthcare providers. This experience will be directed and evaluated by one or more
preceptors. Practice settings include long term care facilities and hospital outpatient areas.
Interprofessional Experience: The pharmacist is a member of an interdisciplinary team that serves the patient’s interest
above all other concerns. Team members may include pharmacists, physicians, physician assistants, nurse practitioners,
nurses, and other healthcare providers. This experience may be directed and evaluated by one or more preceptors.
PROFICIENCIES:
1. Apply pharmacotherapy principles and foundational knowledge to deliver patient‐centered care
2. In collaboration with the health care team, provide safe, effective and cost‐effective patient care to a diverse
patient population following a consistent JCPP pharmacist patient care process
3. Administer medications to a diverse patient population
4. Ensure continuity of care during patient transitions between care settings
5. Apply the systems approach to medication safety activities to identify and report medication errors
6. Apply pharmacy practice management skills related to human resources, medication resources, informatics,
pharmacy workload and financial performance
7. Provide education to patients, caregivers, health care professionals, students, and the public (individuals and
groups) on prescription medications, self‐care products which may include alternative therapies, devices, dietary
supplement, and complementary medications using culturally competent methods
8. Communicate with health professionals effectively in oral and written format using appropriate documentation
methods and systems
9. Display professional behavior, self‐awareness, advocacy, and commitment to the profession
ASSESSMENTS:
1. Preceptor evaluations of student
a. Mid rotation
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b. End of rotation
2. Intern self‐evaluations
a. Start of rotation – due by day 1 of rotation
b. Mid rotation – due before Monday of week 4 of rotation
c. End of rotation – due by Thursday of week 6 of rotation
3. Case Logs – due by Tuesday of week 6 of rotation:
a. To be graded by APPE Director
b. Interventions will be graded on quality and completeness. E‐value Case Logs will be utilized for
interventions.
c. You are encouraged to document all interventions at your site, not just the minimum that is required.
d. Minimum total requirement: 10
i. Submit a variety of drug related problems (DRPs) and interventions reflective of the learning
experience
ii. Recommended intervention types: Chronic Medication Adjustment
iii. Recommended DRP types: Drug‐Drug Interaction
e. For instructions on submitting a comprehensive case log, see video regarding Case Logs or Case Logs
slides.
4. Assignments
a. 2 SOAP Notes
i. 1 SOAP note from before midpoint
ii. 1 SOAP note from after midpoint
iii. To be graded by preceptor using the standard rubric
iv. May be in format other than SOAP that is utilized by site
v. Must complete first note before next one is completed
vi. Student to upload completed evaluation form and HIPAA compliant/deidentified notes (if
permitted by site) via Evalue Portfolio – Non‐Reflective Folder – Written Assignment link by the
last onsite day of Week 6.
vii. Save file for upload as “SOAP‐APPE#PHAR56XXLastNameFirstName”; # = Rotation block; XX ‐
Course number
b. 1 Drug Information Request
i. Use standard Drug Information Response form
ii. To be graded by preceptor using the standard rubric
iii. Student to upload completed evaluation form and completed Drug Information Response form
via Evalue Portfolio – Non‐Reflective Folder – Written Assignment link by the last onsite day of
Week 6.
iv. Save file for upload as “DIQ‐APPE#PHAR56XXLastNameFirstName”; # = Rotation block; XX ‐
Course number
c. 1 Presentation
i. Examples of presentation include, but not limited to: patient case presentation, disease state
presentation, journal article evaluation, or other formal presentation as approved by preceptor.
ii. To be graded by preceptor using the appropriate rubric for presentation type
iii. Student is to upload completed evaluation form and handout/presentation slides to Evalue
Portfolio as directed on the evaluation form by the last onsite day of Week 6.
OTHER REQUIRED DOCUMENTS:
1. Hours logged properly in eValue
a. Minimum 240 hours
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b. All verified by preceptor(s)
2. Student of Site Evaluation
3. Student of Preceptor Evaluation
GRADING PROCEDURES:
Grading will occur via electronic APPE evaluations on E‐Value. Students will receive a grade at midpoint that does not
count towards the final grade on a transcript. The grade received at midpoint evaluation will be utilized for student self‐
reflection and to set goals for the second remaining half of the rotation. Students will receive a final grade on the last
day of the APPE that will be transferred to the student’s transcript. Grading occurs via an automatic calculation present
in electronic evaluations in E‐Value.
Grading Criteria
The grading criteria is competency based. Minimal passing performance is 70%. A total of 500 points may be achieved
upon completion of the assigned APPE. These points are composed of scores as delineated below. The following
maximum point values may be achieved in each of the areas:
Final Evaluation from preceptor (rubric) 300 Points
Assignments 100 Points
Projects, assignments, interventions, evaluations Pass/Fail
Practice Experiential Director Grade* 100 Points
TOTAL 500 Points
*Practice Experiential Director Grade – Accountability points described in P&P manual
In order to receive a passing grade for the rotation the intern:
1. Must NOT receive three (3) or more Needs Improvement (NI) ratings on the end of rotation evaluation
2. Must NOT receive one Significant Deficits Exists (“SD”) rating on the end of rotation evaluation
3. Must earn points for a passing grade of “C” or above
Grading Scale:
A letter grade is assigned based on the total points earned.
Letter Grade Total APPE Rotation Points Percentage A 450 – 500 points 90 – 100% B 400 – 449 points 80 – 89% C 350 – 399 points 70 – 79% D 325 – 349 points 65 – 69% repeat APPE F Less than 325 points Below 65% repeat APPE
ADDITIONAL RESOURCES: Refer to Ambulatory Care APPEs Blackboard course
74
Drug Information Response Form Drug Information Response Form
Student Name: _______________________
Site Name: ___________________________ APPE #: _____ APPE Name: _______________________________
REQUEST INFORMATION
Date received: ____________ Requestor Name: ___________________
Time received: ___________ Call back/pager number: _____________
Requestor profession/relation (check all that apply): __MD/DO __DDS __Nurse __Pharmacist __Preceptor __Patient __Public __Other: _____________ How received (check all that apply):
__Phone __Voice mail __Email __Fax __In‐person __Other: ________________ Priority (check one): __Urgent __High __Routine __Low
QUESTION/REQUEST:
RESPONSE WITH SUPPORTING INFORMATION:
REFERENCES:
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Evaluation Forms for Ambulatory Care APPEs
Journal Club Evaluation Form TEXAS CONSORTIUM ON EXPERIENTIAL PROGRAMS JOURNAL CLUB EVALUATION FORM
STUDENT NAME:_____________________________________________
DATE:____________________________________
SCORING
CRITERIA SCORE COMMENTS
Background Demonstrated knowledge of covered disease state and medication(s) Identified pertinent prior studies and results relating to trial Justified necessity of trial
Methods Explained and critiqued hypothesis, objectives and methods Identified the study population Interpreted and critiqued statistics Addressed validity of methodology
Results Discussed efficacy and safety outcomes Evaluated the statistical and clinical significance of results
Discussion/Conclusion Critiqued authors’ discussion/conclusion Developed personal conclusion using background information and results of trial Addressed strengths and weakness of trial Considered contribution of trial to clinical practice Determined whether a specific patient or patient population falls within the study population Indicated whether the results of the study can be applied to specific patient or patient population. If not, identified what additional information was needed to do so. Provided therapeutic recommendations for study population & specific patient or population
Preparation Worked from notes and was not “reading” the presentation
Exceeds Expectations (EE) – 10 points )
Meets Expectations (ME) – 8.7 points
Needs Improvement (NI) – 7 points
Significant Deficits Exist (SD) – 5 points
Student has excelled in performing competency Student performs above expectations and requires minimal guidance from preceptor
Student performed the competency at an acceptable level Student has met expectations but requires occasional guidance from preceptor
Student has not consistently demonstrated the competency at an acceptable level Student requires frequent guidance from preceptor
Student has rarely demonstrated the competency at an acceptable level Student requires continual guidance from preceptor and often does not complete tasks
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Answered direct questions appropriately Showed confidence regarding subject matter Used outside information to enhance quality of analysis
Presentation Format Points presented logically Well organized Addressed all major sections of trial Quality and quantity of data presented relevant to trial Oriented audience to data tables and graphs
Presentation Style Appropriate volume Used eye contact Communicated answers to questions in an informed, authoritative, and respectful manner Appropriate pace; not rushed or garbled Used correct grammar and proper syntax
OVERALL COMMENTS:
TOTAL SCORE: ______/ ______ FINAL: ______ % EVALUATOR NAME:
_____________________________________________
If student receives 2 or more “NI” or any “SD” or overall score of below 70%, student must follow up with Office of
Experiential Programs.
Students: Upload completed evaluation form and handout/presentation slides via Evalue Portfolio – Non‐Reflective
Folder – Journal Club Review. Save file as “JC‐APPE#PHAR56XXLastNameFirst Name”. Due last onsite day of Week
6. #=Rotation block; XX=course number.
Presentation Evaluation Form TEXAS CONSORTIUM ON EXPERIENTIAL PROGRAMS PRESENTATION EVALUATION FORM 2019‐2020
STUDENT NAME:_____________________________________________ DATE:____________________________________
SCORING
Exceeds Expectations (EE) – 10 points Meets Expectations (ME) – 8.7 points Needs Improvement (NI) – 7 points Significant Deficits Exist (SD) – 5 points
Student has excelled in performing
competency.
Student performs above expectations
and requires minimal guidance from
preceptor
Student performed the competency at
an acceptable level
Student has met expectations but
requires occasional guidance from
preceptor
Student has not consistently
demonstrated the competency at an
acceptable level
Student requires frequent guidance from
preceptor
Student has rarely demonstrated the
competency at an acceptable level
Student requires continual guidance from
preceptor and often does not complete
tasks
TOTAL SCORE: ______/ ______ FINAL: ______ % EVALUATOR NAME: ____________________________________________________
If student receives 2 or more “NI” or any “SD” or overall score of below 70%, student must follow up with Office of Experiential Programs.
Student to upload completed evaluation form and handout/presentation slides via Evalue Portfolio – Non-Reflective Folder – Presentations link by the last onsite day of Week 6. Save file for upload as “PRES-APPE#PHAR56XXLastNameFirstName”; # = Rotation block; XX - Course number
Style SCORE COMMENTS
Handout(Appropriate length; arrangement; references listed in appropriate format; clear; accurate)
Audiovisuals
(Clear; appropriate; appealing; organized)
Delivery/Language
(appropriate rate/volume; utilized eye contact; absent of distracting mannerisms; spoke clearly; prepared;
professional appearance; avoided reading presentation; grammatically correct; good transitions)
Organization
(Clear arrangement of ideas; good transitions)
Content SCORE COMMENTS
Research & Knowledge
(Depth of research; analysis of material; appropriate references)
Discussion of Topic
(Appropriate recommendations; rationale of conclusions; summarized material; essential elements presented)
Questions & Answers
(ability to defend responses to questions; understanding of questions asked; ability to handle difficult questions)
Overall Comments
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Drug Information Inquiry Evaluation Form TEXAS CONSORTIUM ON EXPERIENTIAL PROGRAMS DRUG INFORMATION INQUIRY EVALUATION FORM
STUDENT NAME:_____________________________________________ DATE:____________________________________
SCORING
CRITERIA SCORE COMMENTS Drug Information Question Clearly defined the drug information question Summarized the question or therapeutic dilemma Identified and retrieved pertinent data and information
Literature Sources Utilized appropriate literature sources Utilized a variety of primary, secondary, and tertiary literature sources (if available) Interpreted primary, secondary, and tertiary literature appropriately (e.g., does not indicate that one case study is applicable to an entire population)
Literature Review and Evaluation Critiqued the literature utilized to answer the question Summarized available data
Conclusion/Answer/Response Reached an evidenced‐based conclusion Applied information from critical analysis of literature (e.g., recommendation matches literature review) Applied therapeutic and pharmacologic knowledge
Format of Presented Material Written – Organized, concise response that is grammatically correct and has no typographical errors Verbal – Organized, concise explanation using appropriate language for the inquirer and good pace, volume, and tone of voice Fielded questions effectively Cited references
Exceeds Expectations (EE) – 10 points ) Meets Expectations (ME) – 8.7 points Needs Improvement (NI) – 7 points Significant Deficits Exist (SD) – 5 points
Student has excelled in performing competency Student performs above expectations and requires minimal guidance from preceptor
Student performed the competency at an acceptable level Student has met expectations but requires occasional guidance from preceptor
Student has not consistently demonstrated the competency at an acceptable level
Student has rarely demonstrated the competency at an acceptable level Student requires continual guidance from preceptor and often does not complete tasks
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CRITERIA SCORE COMMENTS
Professionalism Worked independently (minimal assistance required) Prepared for follow‐up questions Displayed initiative to understand information surrounding the specific drug information question (e.g., if asked about a hypertension medication, student is also able to describe guideline recommendations for hypertension management) Used available resources to critically think and make a final recommendation/conclusion (e.g., does not end question with “there needs to be more studies”)
Timeliness in response Answered question in an appropriate time based on the acuity of the situation
OVERALL COMMENTS:
TOTAL SCORE: ______/ ______ FINAL: ______ % EVALUATOR NAME: _____________________________________________
If student receives 2 or more “NI” or any “SD” or overall score of below 70%, student must follow up with Office of Experiential Programs.
Student to upload completed evaluation form and handout/presentation slides via Evalue Portfolio – Non-Reflective Folder – Written Assignment link by the last onsite day of Week 6. Save file for upload as “WA-APPE#PHAR56XXLastNameFirstName”; # = Rotation block; XX - Course number
SOAP Note Evaluation Form TEXAS CONSORTIUM ON EXPERIENTIAL PROGRAMS
PATIENT ENCOUNTER (SOAP NOTE) EVALUATION FORM
STUDENT NAME: DATE:
SCORING
Exceeds Expectations (EE) –
10 points )
Meets Expectations (ME) –
8.7 points
Needs Improvement (NI) –
7 points
Significant Deficits Exist (SD) –
5 points
Student has excelled in
performing competency
Student performs above
expectations and requires
minimal guidance from
preceptor
Student performed the
competency at an
acceptable level
Student has met
expectations but requires
occasional guidance from
preceptor
Student has not consistently
demonstrated the
competency at an acceptable
level
Student requires frequent
guidance from preceptor
Student has rarely
demonstrated the competency
at an acceptable level
Student requires continual
guidance from preceptor and
often does not complete tasks
SCORE COMMENTS
I.
Patient Interview Information – Subjective Information Chief Complaint
History of Present Illness
Past Medical History
Family History
Social History
Medications
Allergies (including reaction)
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II. Patient Interview & Chart/Patient Profile Info. ‐ Objective Information Vitals
Actual, ideal, and adjusted (if necessary) body weight and
heightPhysical Exam (if applicable)
Relevant Labs (please state if missing or unable to obtain)
III. Identification of Disease & Drug Therapy Problems List of disease states in an appropriate order of priority
List of medications
List of preventative health related issues
IV. Assessment of identified problems & establishment of
specific goals for each problem
Appropriate goals in line with current consensus guidelines
and literature
Assessments and goals succinct and complete
V. Development of the Action Plan
Alteration of Dosing Regimens (if applicable) including
name, dose, route, & frequency of administration.
Desired outcomes (time frame for results, magnitude of
results)
Side effects/Adverse reactions
Recommended laboratory, vitals, or physical exam monitoring (including frequency of labs) Time frame for the patient to return for next visit.
VI. Verbal Communication Skills Audible
Enunciation
Appropriate rate and tone to reflect interest
Easy to understand/listen to
Proper pronunciation and use of medical terms
Lack of distracting mannerisms
Shows polish, poise as a speaker
Outstanding eye contact (e.g. rarely uses notes)
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VII. Overall SOAP Note Logically organized
Comprehensive summary of patient encounter, assessment, and plan
VIII. Response to Questions Questions were correctly answered
Clear justification was given for each of their responses
TOTAL SCORE: ______/ ______ FINAL: ______ % EVALUATOR NAME:_______________________________________
If student receives 2 or more “NI” or any “SD” or overall score of below 70%, student must follow up with Office of
Experiential Programs.
Student to upload completed evaluation form and handout/presentation slides via Evalue Portfolio – Non-Reflective Folder – Written Assignment link by the last onsite day of Week 6. Remove (or black out) all patient identifiers before upload. Save file for upload as “SOAP-APPE#PHAR56XXLastNameFirstName”; # = Rotation block; XX - Course number
OVERALL COMMENTS:
Advanced Community Assignments Rubric
Instructions: Circle the score for each criteria that best reflects the student’s performance.
Self‐Care OTC Counseling (out of 100 points) 25 POINTS 22 POINTS 19 POINTS Patient Assessment (25 points) - Obtained assessment information about symptoms, allergies, current medications and
medical conditions for assessment -
Accurately and completely gathered ALL
relevant patient information components.
Accurately and completely gathered MOST relevant
patient information components.
Did not accurately and completely gather most of the relevant patient
information components.
Establish patient candidate for OTC Therapy (25 points) - Appropriate discussion of primary patient problem (epidemiology, treatment, etc.) - Depth of research and utilization of primary literature - Analysis of material (article was properly analyzed and interpreted) - Appropriateness of references from primary literature and guidelines
Accurately and completely established
OTC candidate
Did not accurately and completely established
OTC candidate
OTC Counseling (25 points) - Appropriateness of recommendations
Counseled on drug product – dose, monitoring parameters
Accurately and completely discussed ALL
relevant information
Accurately and completely discussed MOST relevant
information
Did not accurately and completely discuss most relevant information
Communication Style & Professionalism (25 points) - Appropriate volume and articulates words well - Maintains eye contact - Appropriate pace; not rushed or garbled; Uses correct grammar and proper syntax; No
distracting mannerisms - Professional demeanor and appearance
Completely addressed ALL communication & professionalism criteria
Addressed MOST communication &
professionalism criteria
Did not address most communication &
professionalism criteria
Scores – Add all the scores under each column
Grade = Add all the scores from all the columns (out of 100 points. This is the grade to enter on EValue Preceptor End of Rotation grade for assignments.
DEA Schedule 222 Form (out of 100 points) 25 points 22 points 18 points - Fill out the Name of Supplier, Address, City, State
Accurately and complete
Mostly Accurately and complete
Not Accurate and complete
- Date filling out form
Accurately and complete Mostly Accurately and
complete Not Accurate and
complete
- Number of packages, size, strength, dosage form
Accurately and complete Mostly Accurately and
complete Not Accurate and
complete
- Enter the number of lines used
Accurately and complete Mostly Accurately and
complete Not Accurate and
complete
PHAR 5693 Advanced Community Assignments Rubric
Student: ________________________________________________________________
Course: _______________________ Evaluator: _______________________________
84
- Signature of agent
Accurately and complete Mostly Accurately and
complete Not Accurate and
complete
Scores – Add all the scores under each column
Grade = Add all the scores from all the columns (out of 100 points. This is the grade to enter on EValue Preceptor End of Rotation grade for assignments
Pharmacist & Technician Schedule for 1 week (out of 100 points) 25 points 22 points 18 points - Pharmacist: Gathered preferences from pharmacist with regards to schedule
Accurately and complete Mostly Accurately and
complete Not Accurate and
complete
- Technician: Gathered preferences from technicians with regards to schedule
Accurately and complete Mostly Accurately and
complete Not Accurate and
complete
- Schedule criteria: Established criteria for number of pharmacists & technician per shift
Accurately and complete Mostly Accurately and
complete Not Accurate and
complete
- Communication: Professional in communication with both pharmacists and technicians when gathering preferences and communicating the final schedule
Accurately and complete Mostly Accurately and
complete Not Accurate and
complete
Scores – Add all the scores under each column
Grade = Add all the scores from all the columns (out of 100 points. This is the grade to enter on EValue Preceptor End of Rotation grade for assignments.
Major Drug Interaction Form (out of 100 points) 25 points 22 points 18 points Identified drugs involved in interaction
Accurately and complete Mostly Accurately and
complete Not Accurate and
complete
Described drug interaction Accurately and complete
Mostly Accurately and complete
Not Accurate and complete
Category of drug interaction severity (Major, Moderate, Minor) Accurately and complete
Mostly Accurately and complete
Not Accurate and complete
Resolution of drug interaction Accurately and complete
Mostly Accurately and complete
Not Accurate and complete
Scores – Add all the scores under each column
Grade = Add all the scores from all the columns (out of 100 points. This is the grade to enter on EValue Preceptor End of Rotation grade for assignments.
Overall Comments:
Student to upload completed evaluation form and assignment documents via Evalue Portfolio – Non‐Reflective Folder – Advanced Community link by the last onsite day of Week 6. Remove (or black out) all patient identifiers before upload. Save file for upload as “AC‐APPE#PHAR5693LastNameFirstName”; # = Rotation block